Community CVS – Membership Form

Organisation

Group/Organisation Name

Address Line 1

Address Line 2

Town/City

County

Postcode

Website

Email

Telephone Number

Primary Contact

Title

First Name

Last Name

Job Title

Email

Telephone Number

Data Protection & Privacy Requirements

Data Protection Act 2018. All information you have provided will be held in manual and electronic formats and only be used in line with the Data Protection Act 2018. The information will be used to contact you with regards to your CVS Membership and for CVS to use the personal contact details to contact the organisation by telephone, text, e-mail or post on all matters relating to the organisation. We will keep the information ‘live’ on our information systems for as long as you are registered with us and will keep archived information for the length of time required by funders for audit purposes only. You have the right to withdraw consent to part or all of the above at any time by contacting Christopher Houghton below. Blackburn with Darwen Council for Voluntary Service is the data controller and is registered on the Data Protection Register (Z1938345). We will not share or divulge your details to any other third parties without your expressed consent. You have a right to access your information by writing to Christopher Houghton, Community CVS, Boulevard Centre, 45 Railway Road, Blackburn. BB1 1EZ email: [email protected]

Statement of Consent: Organisational Contact

I Consent

I do NOT Consent

Please check the box if you consent for CVS to use your personal contact details to contact the organisation by telephone, email, or post on all matters relating to the organisation.

Statement of Consent: Third Parties

I Consent

I do NOT Consent

Please check the box if you consent for CVS to share your contact details with other CVS members, residents and potential volunteers who are interested in contacting the group.

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