Council For Voluntary Service Central Lancashire

Units 23/27, Guild Hall Arcade, Lancaster Road, Preston PR1 1HR

: 01772 251108

Fax: 01772 251170

Email:

DATA PROTECTION

Council for Voluntary Service Central Lancashire maintains a database of local Voluntary Organisations and Community Groups. This information is used in order that CVS Central Lancashire membership organisations and other local groups can be involved in consultations, receive copies of the CVS News, have an entry in the Directory of Voluntary Organisations and Community Groups working in Preston, receive details of local and regional events and to be provided with information about CVS services.

We would be grateful if you would complete the form and indicate whether you are happy to receive further publications/information. If there is any information that you wish us not to use, please indicate this on the form. To comply with the regulations of the data protection we must have one signature giving us, Council for Voluntary Service Central Lancashire, permission to use your contact details in the future.

Your assistance in this matter is very much appreciated. Please remember to sign and date the form.

Joan Burrows

Chief Officer

…………………………………………………………………………………………………………………..

Data Protection

In Accordance with the terms and provisions of the Data Protection Act 1998 we are asking your permission to hold your details on our computer system to use in the following areas:

(Please tick the areas that you would allow your contact details to be used)

CVS News letter

CVS Directory of Voluntary Organisations

and Community Groups

CVS Website

General CVS Work

Occasionally, CVS Central Lancashire is approached by third parties about distributing information to our database, are you willing to accept this information through CVS mail outs?

Yes  / No 

Are you willing for your details to be given out to other bodiesi.ePreston City Council

Primary Care Trust

Lancashire County Council

Yes  / No 

Organisational name in full (please write acronyms in full):.……………………………………………...

…………………………………………………………………………………………………………………..

Continue overleaf

Contact name:….………………………………………………………………………………………………

Contact’s position:….…………………………………………………………………………………………

Organisational address:………………………………………………………………………………………

…………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………..

Post code:………………………………………………………………………………………………………

Telephone number(s):………………………………………………………………………………………...

Fax number:……………………………………………………………………………………………………

E mail address:………………………………………………………………………………………………...

Website address:………………………………………………………………………………………………

Type of work:…………………………………………………………………………………………………..

Area of coverage:……………………………………………………………………………………………...

Services:………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………..

Current Projects:………………………………………………………………………………………………

………………………………………………………………………………………………………………….

Languages:…………………………………………………………………………………………………….

.Opening times/Meetings:……………………………………………………………………………………

Facilities/Events to Share:……………………………………………………………………………………

…………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………..

Signature……………………………………….Date…………………………………………………………

Thank you for your co-operation.Database Co-ordinator

Please return the completed form to:Council for Voluntary Service Central Lancashire

Units 23/27, Guild Hall Arcade

Lancaster Road

Preston

PR1 1HR

…………………………………………………………………………………………………………

For CVS use

Ref No……………………..

Date received…………………………………… Date Processed………………………………..

“Promoting and assisting voluntary and community activity in Preston”

Registered Charity Number 222247