ONLINE DATA COLLECTION FORM

Please update my details for the Circuit OR Church Directory. Data Collection Forms should be renewed every two years.

I confirm that I have read and understood the Data Protection relating to my details *

Yes

I give my consent to be included in the following directory. PLEASE SELECT FROM THE DROP DOWN BOX. *

I give my consent to

Be informed of news and events

I give my consent to

Be contacted by District Officers/Connexional Team

I give my consent to

Be contacted about specific fund raising events.

Mr/Mrs/Rev/Other *

Christian Name *

Surname *

Your Address *

Town *

Post Code *

Email Address *

Please repeat your email address. *

Telephone

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