Mailing List Consent Form
Please complete the attached form to join our mailing list or for removal from our mailing list.

Inclusion North will only use your personal information for the reason you contact us.

We will not pass on your personal information to other people.

You have the right for personal information to be removed, you can do this by completing the sections in the form or
contacting

Inclusion North Suite 4 Unity Business Centre 26 Roundhay Road Leeds LS7 1AB

0113 2444792

info@inclusionnorth.org

Name: *
Your answer
Address: *
Your answer
Email Address *
Your answer
I would like to receive the bulletin by *
Choose how you would like to receive the bulletin
Do you belong to any of the Inclusion North Groups *
What group do you belong to
Your answer
Do you want to get other information from Inclusion North *
Do you want to get other information from organisations that Inclusion North work with *
I know that Inclusion North will keep my contact details to make sure I get the bulletin and any other information I agree to receive from Inclusion North *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of inclusionnorth.org.