Data Protection form

In order to meet Data Protection Privacy laws, we are required to ask for you to give your consent to us keeping your name, address, telephone number and email address on a database. Please fill in the form below which will be securely returned to us.

Name

First Name

Last Name

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration

I am willing for the Data protection officer of St Paul’s to keep my personal details on a secure database for use in line with the St Paul’s Data Protection Policy.

Yes

Signature

Please write your legal name as a digital signature to confirm that you agree

Future Communication

Are you happy for us to contact you in the future with other information regarding St Paul’s Church?

Yes

Newsletter Preference

If yes would you like to receive a Newsletter by

In a Paper format

If No, then please state the things you would only like to hear about.