Your contact details
Autism Berkshire will only contact you if you have given us your express permission to keep in touch.

This way, you can be sure you will only hear about our work to support autistic people living in Berkshire and their families if you have chosen to.

You can also choose how you want to be contacted – whether by post, email or phone, text message or a combination of all three. It’s entirely up to you.

Your support is vital to help us to continue to provide our range of advice, support, training and leisure services and we would like to keep you posted about all our latest news, services and fundraising activities.

Privacy notice

We will always store your personal details securely. We will use them to communicate with you in the way(s) that you have agreed and to provide any service(s) that you have requested. Your data may also be used for analysis purposes, to help us provide the best service possible, and for monitoring purposes by our funders. We will only share it if required to do so by law.

For full details see our Data Protection Policy at or contact us by calling 01189 594 594 or emailing
If your details change or you would like to update your communication preferences at any time, please email or write to us at 40 Caversham Road, Reading, RG1 7EB

First name: *
Your answer
Surname: *
Your answer
I am happy for my data to be used to: (tick all that apply)
I am happy to be contacted by
If you are happy to be contacted by email, please enter your email address here
Your answer
If you are happy to be contacted by phone, please enter your phone number here, including the dialling code
Your answer
If you are happy to be contacted by post, please enter your address and postcode here
Your answer
I understand that by submitting this form I am giving Autism Berkshire consent to store my data and use it to contact me in the ways that I have indicated and for analysis and monitoring purposes *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service