Ferguslie Community Development Trust

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Membership Application Form

Personal Details

Full Name: *

Address: *

Postcode: *

Organisation:

Activities:

Email: *

Date of Birth: *

YYYY

Telephone No: *

Reason for Application

Please complete all details in support of your application, stating your reason for application and how you can help.

Please state the reason for your application and how you can help. *

Please highlight areas of interest: *

Please select all that apply.

Catering/Community Cafe

Elderly Activities/Lunch Club

Sports Activities

Youth Activities

Health Activities

Social Activities/Community Events

Children's Activities

Family Activities

Volunteering

Supporting vulnerable members of the community

Outdoor Activities

Environmental Activities/Gardening Clubs

Playschemes

Walking Group

Cycling Routes/Clubs

Tenants Associations

Social Enterprise/Community Business

Other:

Required

If you selected "other", please specify...

DECLARATION

Please agree to the following declarations in order to submit your membership application.

MEMBERSHIP DECLARATION: I support the charitable purposes of the Ferguslie Community Development Trust as laid out above. *

I agree

DATA PROTECTION CONSENT: By providing your contact details you are agreeing that we may contact you about membership, fundraising and other activities. We do not share your details with any third party organisations for marketing purposes. *

I consent

I agree to the relevant personal details being held on file and the computerised database. I also confirm that I will notify FCDT of any changes. I understand that under the Data Protection Act, with prior notification, I have the right to access this information. *

I agree

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