Address Book Consent Form

If you would like to be included in our new church address book, please complete the below consent form by Sunday the 2nd April 2023. Thank you!

Your Name *

First

Last

Address line 1 *

Address line 2

Town *

Postcode *

Email address *

Email

Confirm Email

Preferred telephone number *

Alternative telephone number

Children's names

Please enter the names of any under 18s at the same address that you wish to be included in the address book.

Consent date (DD/MM/YY) *

Your personal information consent *

• I consent

I consent to the use by Airdrie Ebenezer Evangelical Church of my personal information provided herewith for inclusion in a church address book.

Your photography consent *

• I consent
• I do not consent

I consent to Airdrie Ebenezer Evangelical Church taking photographs / recording videos for the purpose of showing them at a later date including being shown on the Airdrie Ebenezer Website and Social media pages.

Submit

Please note that the information provided will be retained by us for as long as it is required for the purpose for which it was collected or unless you tell us otherwise. You can withdraw or change your consent at any time by contacting the Deacons at deacons@airdrieebenezer.com.

Our Privacy Notice can be found here: https://airdrieebenezer.co.uk/privacy-policy/