I would like to become a member of the Clausentum Fen Conservation Group. 

My details are as follows:

 Name                   __________________________________________________
Address:              __________________________________________________
                              __________________________________________________
               __________________________________________________
Email Address:                 ___________________________________________
Phone Number:               ___________________________________________

Signed:
We need to be able to contact you to send you information so will require your contact details. Under the General Data Protection Regulations we do require your explicit consent for us to be able to store personal information. A copy of our privacy statement is available to download on our website, but in essence:
•	We will collect personal information from you when you register as a member with us.
•	Information is stored on a central database accessed by CCFG committee only.
•	Your personal information will only be used to process your requests, to send out general information, or to provide you with information relating to our activities.
•	You may withdraw your consent for us to contact you at any time
•	We will not share your information with any other parties.
•	We will take reasonable precautions to prevent the loss, misuse or alteration of information you give us
By completing this form, you are confirming that you are consenting to the CFCG holding and processing your personal data for the following purposes: news, events and activities organised by them.

Please indicate where you grant consent
I consent to the CFCG contacting me by:
Post                       Yes/No   
phone                   Yes/No
e- mail                  Yes/No
You can withdraw or change your consent at any time by contacting us as below.
Please return the form as an email attachment to chair@clausentumfen.co.uk or send to:
 CFCG, c/o 22 Clausentum Road, St Cross, Winchester, SO23 9QE.