#GP4Better Registration

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This form is to register your interest in the upcoming Patient Consultation Event.
To find out more visit: www.bradford4better.com

Email *

First Name *

Surname *

Postcode *

Please ensure you enter your postcode with uppercase letters and a space separating the first half and the second half of the postcode e.g. BD1 1BD

Phone Number

Please ensure you enter your phone number in the following format using only numbers and no spaces, letters, symbols and no country code: 01234567890 or 07123456789

Preferred Method of Contact *

Phone

Both

Bradford4Better Local WhatsApp groups

Our local WhatsApp groups allow you to communicate with other like-minded people in your area, organise activities and events to improve the area, discuss local issues and also be aware of local happenings.

Would you like to join your local Bradford4Better WhatsApp Group?

Yes

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Mailing List Consent

Bradford 4 Better regularly organise local and city-wide cleanup, support and community discussion events and campaigns to help improve the city. If you would like to receive further information on any future, events, campaigns or initiatives that Bradford 4 Better organise or are involved with via email then please Subscribe to our mailing list to be notified by indicating below.

You can unsubscribe at any time by emailing us at hello@bradford4better.com

For more information or to view our privacy and data protection policies please contact us at hello@bradford4better.com.

We use Mailchimp as our marketing platform. By agreeing below to subscribe, you acknowledge that your information will also be transferred to Mailchimp for processing. Learn more about Mailchimp's privacy practices here: https://mailchimp.com/legal/

I would like to sign up to the Bradford 4 Better mailing list to receive updates and notifications of other Bradford 4 Better events, campaigns, initiatives and news via the email address I have provided in this form. Please select Yes to accept and join our mailing list or No to decline. *

Yes

Data Consent, Disclaimer and Agreement

The data we collect here will be used solely for the purpose of showing interest in Bradford 4 Better Membership and any related activities.

We will also ask for your email address and/or telephone number so we can contact you further if required. Your email address and telephone number will not be publicly displayed or used for any other purposes nor will they be shared with any 3rd parties.

By providing your details, completing and submitting this form and agreeing to the terms detailed in this form you are agreeing to register your interest in joining Bradford 4 Better as a member and to your information and data being used for the purposes described above and any related activities. If you do not agree to your information being used as described then please do not submit the form and close it by closing this browser/tab.

For further information, or to view our privacy and data protection policies please contact us by emailing us at the following address: hello@bradford4better.com.

I agree to the terms described above and the usage of the data I have provided in this form for the purposes described in the disclaimer above? *

Yes

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