ONLINE DATA COLLECTION FORM

Please update my details and data consent for Chelmsford Circuit.

This Directory is only circulated to those people listed within the directory and is not available to the general public or available anywhere on-line. 

If you see a copy on public display in a church, please remove and report this to the Circuit Administrator. Thank you.

 


I confirm that I have read and understood the Data Protection relating to my details:*
Yes
I give my consent to:
Have my personal details in the Circuit Directory
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.
I would prefer to be contacted by::
Post
Email
Phone
SMS
Social Media
Mr/Mrs/Rev :*
Christian Name:*
Surname:*
Which Church do you belong to:*
Your Addess:*
Town:*
Post Code:*
Email:*
Telephone:
Comments:
Please enter the verification number:*
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