You can use this form to request a record or dedication to cheer up a friend or relative, or perhaps to say "thank you" to
a member of staff!
Please try to give us as much advance notice as you can, so that your request or dedication can be included in our programme
schedule. We will try our best to play the record of your choice whenever possible.
Chippenham Hospitals Radio Service is registered in the UK by the Charities Commission: Number 292802.
