E-mail permission - CELEBRATE WALES

Permission to receive e-mails from Celebrate
Completion Date

Day Month Year
Full Name *

First Name/Given Name Last Name/Family Name
Address

Street Address Line 1

Street Address Line 2

City/Town County

Post Code
Mobile phone

Prefix Phone Number
Home phone

Area Code Phone Number
E-mail *
E-mail address you wish us to use in correspondence with you
We would like to send you information about Celebrate events. To comply with Data Protection rules we need to ask you to confirm that you are happy to receive emails from CELEBRATE about our conferences, CELEBRATE@home, and any other CELEBRATE-led activities. Please tick the box below to say "Yes" *

Yes, e-mail me to keep me up to date with all CELEBRATE Events. I understand I can unsubscribe any time from receiving these e-mails by contacting info@celebrateconference.org
I understand I can unsubscribe any time from receiving these emails by contacting info@celebrateconference.org
Should be Empty:

Permission to receive e-mails from Celebrate