Contact Details Consent Form

Group or Organisation

We will only use the information on this form in relation to the organisations you include in the box below.

If you are the contact for more than one organisation, please either list them all in the box or complete this form separately for each of them.

Organisation Events

Would you like us to also use your details for events oragnised by the organisations listed above?

NOYES

Your Name

Please enter your name below as you would like it to be displayed as a contact on our websites for the organisations listed above. For example, if you only wish your forename to be shown or your first initial and your surname.

If you do not wish you name to be shown please leave this field blank.

Your Email

Please enter your email below if you would like it to be used as a contact on our websites for the organisations listed above.

If you do not wish you email to be shown please leave this field blank.

Your Telephone Number

Please enter your telephone number below if you would like it to be used on our websites for the organisations listed above.

If you do not wish your telephone number to be shown please leave this field blank.

Consent Statement:

Do you consent to your information being used as a contact for the organisations listed above, and for those contact details to be published by Rossendale Community Directory on our community information website?

NOYES

You can change your mind at any time by:

• Completing this form again for the information that you would like to remove consent for, and clicking "NO" for the consent statement.

• By contacting us and notifying us by email at info@rossendalecommunitydirectory.co.uk. Please include the name(s) of the organisation that you are associated with.

For more information about our privacy practices please visit our website here:

Rossendale Community Directory Privacy Policy.

By clicking on the "Send" button below, you agree that we can process your information as detailed on this page.