Your Info

Complete the information below to become a member of forum.
Name*
E-mail*
Website

Essential Info

Organisation Name*
Enter the name of your group, orgnaisation or business below
Location*
Type in your address below. If you don't know your address, zoom in and click on the location on the map.
Address Line 1
City
State / Province / Region
Postal / Zip Code
Country
Latitude
Longitude

Contact Info

Please enter your details above the relevant field description
Phone Number
Mobile Number
Fax Number
E-mail
Website
Areas covered*
Where does your organisation work or provide services?
Activities
You can shoose as many categories as you like. To add a second category click the add more button and then scroll through the top list. The category with a little red cross against it is one you have chosen already and can be deleted.
Other Activity
please specify
Client groups
Select all that aply
Other Client Group
Please specify
Organisational information
Organisation type and structure. Please select all that apply
Other organisation type
Company number
please insert your company number if you have one (including companies limited by guarantee)
Registered Charity number
If you are a registered charity, please give your charity number

Social Accounts

Please enter your Twitter username and your Facebook and Google+ web addresses if you want them on your listing.
Twitter
Facebook URL
Google+ URL

Additional Info

Listing Description
Please provide a brief description of your main activities (no more that 200 words)

Data Protection

With your permission, the information you have provided will be stored and used for the following purposes:
  1. For the distribution of newsletters, briefing papers, consultations, events, news and other information by North Bank Forum teams and partner/member organisations, to yourself.
  2. For inclusion in the Hull City Council Connect to Support database and website
  3. To support the work of the Hull Social Prescribing Teams based with Hull and East Riding CAB and the North Bank Forum, allowing referrals to your organisation as appropriate
  4. The contact and activity information provided will be made available to the public. This will include an entry on the North Bank Forum website and online maps. This will help to promote your organisation, its work and activities.
Please note that
  1. The data contained in these databases will not be passed on as a mailing list to other agencies.
  2. The data contained in these databases will not be used for marketing or fundraising, beyond the activities outlined above
  3. However, your contact details (organisation, address and phone number/e-mail) may be passed to individuals, partners and member organisations where relevant (e.g. when an individual or member organisation requires access to your services)
  4. By ticking the boxes below, you can opt in to each of the purposes outlined above. However, you can opt out at any time by e-mailing ali@nbforum.org.uk or ringing 01482 499031 and asking for Ali Middle
I am happy to receive regular e-newsletters etc. from the North Bank Forum*
I am happy for my information to be included in the Connect to Support database and website*
I am happy for my information to be shared with the Hull Social Prescribing teams*
I am happy for the information to be publicly available on the North Bank Forum website(s) and online maps*
Data protection release
I understand that by typing my email address below I am confirming that the information I have provided will be used only for the purposes specified on the form, and will be stored in accordance with the provisions of the Data Protection Act (1998)
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