‘Senior Friendly Company’ Request form Your name Your email Name of your company Full address of your company Upload company logo Your message Solemn Declaration. I, hereby solemnly declare that, as of this day, at least 20% of the individuals employed by my company are aged 50 years or older. On the basis of this declaration, I formally request to be granted, free of charge and for a period of one year starting from today’s date, the “Senior Friendly Label” for my company. This declaration is made in good faith and with full awareness of its implications. I agree my informations are used and stored for further action *