Consent Form

Your privacy is important to us, and we want to communicate with church members and visitors in a way which has their consent, and which is in line with UK law on data protection. As a result of a change in UK law, we now need your explicit consent to how we contact you. Please fill in the contact details you want us to use to communicate with you.

* Indicates a required field

Personal Information

Name *

First name *

Please enter a First name

Middle name(s)

Surname *

Please enter Surname

Email *

Please enter a valid email

Mobile

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Address

Address 1

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Address 2

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Address 3

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Town

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County

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Postcode

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Country

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Please keep me informed about news, events, activities, and services at Chesterfield Community Church *

Yes