BY COMPLETING THIS FORM YOU ARE EXPRESSLY CONSENTING TO HAVE YOUR DATA PROCESSED AND STORED BY LëtzBlock asbl. This information is confidential. It may be reviewed by the LëtzBlock board and contracted service partners. We will use the information collected in this form solely for the purposes of evaluating your eligibility and ability to join LëtzBlock. We will retain this information only as long as you are an applicant or member or as required for legal and regulatory compliance. We will NEVER sell this information. We will NOT share any of the information collected herein with any third party unless forced to do so by order of a court in a competent jurisdiction.