Do you qualify for free vaping?

MIRAGE VAPE STORES are proud to announce our new partnership with Sheffield's NHS Yorkshire Smokefree service.

Recognising the effectiveness of vaping as a smoking cessation tool and the quality, safety, and service associated with Mirage products, NHS Smokefree Sheffield are offering current smokers in Sheffield access to a FULL vaping starter kit and three months FREE Mirage e-liquid supplies.

Fill in the referral form below, and if you are eligible NHS Yorkshire Smokefree Service will be in touch. 

(*required fields)

 

First Name *

Last Name *

Date of Birth *

House name or number *

Street *

City *

County *

Postcode *

Telephone *

Current Smoker (Y/N) *YesNo

CO Reading (if applicable) 

Pregnant (Y/N) *YesNo

Where did you hear about the Mirage NHS program? RadioBus AdvertBillboardLeafletWord of MouthSocial MediaHealth ProfessionalOther

Further information

Staff Member (instore use only) 

Mirage Branch (instore use only) 

By submitting this form you give permission for NHS Smokefree Sheffield & Mirage Vape Stores to contact you about your referral