ONLINE CONSENT 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. 


I confirm that I have read and understood the Data Protection relating to my details:*
Yes
I give my consent to::
My contact details in the Circuit Directory
Be informed of news and events
Be contacted regarding fund raising events
Be contacted by District Officers/Connexional Team
Mr/Mrs/Rev :*
Christian Name:*
Surname:*
Which Church do you belong to:*
Address:*
Town:*
Post Code:*
Email:*
Telephone:*
Comments:
Please enter the verification number on the right:*
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* Required Fields