RYEDALE NATURAL HISTORY SOCIETY

PERSONAL INFORMATION CONSENT FORM

In order to comply with data protection regulations, we need your consent to contact you. We need to keep a record of personal information such as your name and contact details.

All personal information is treated as private and confidential by our committee and will not be passed on to third parties. It is recorded either on paper or digitally.

You have the right to see the information we hold about you and have any of the details about you deleted.

In order to do this, we need your consent.

CONSENT

I have read and understood the above information and I give / do not give (delete as appropriate) my written consent for the Ryedale Natural History Society (Ryenats) to hold personal information about me.

I am happy to be contacted by post / telephone or email  (delete which do not apply)

I am happy to receive by email, information we consider would be of interest to our members, including newsletters.

I am happy for my details to be retained until notified by you  (otherwise we would need to contact you every two years)

NAME:        ..........................................................................................

EMAIL ADDRESS:        ..................................................................................

ADDRESS:        ...............................................................................................

                ...............................................................................................

PHONE:  (you do not need to give this)................................................................

SIGNATURE:        ...............................................................

DATE:                        ..............................................................