Worthing Council for Voluntary Service

Directory Inclusion Form

Name of Organisation: *

Name of main contact: *

Contact Position: *

Main address of the organisation: *

Please type in the full address of the organisation

Post Code: *

Contact Telephone Number: *

Email Address: *

Website Address: *

Opening Days and Times: *

Brief Description of Activities/Service: *

Maximum 50 words.

Do you provide disabled access?: *

Yes

Data Protection: *

AGREE

By completing this form I give my consent and note that the details I provide on this form will be held on a computer and may also be held in a manual filing system. This data will be processed by Worthing Council for Voluntary Service (WCVS). Under the data protection act of 1998 you have the right to access the details we hold about you. If you wish to exercise this right please write to us at Colonnade House, Warwick Street, Worthing, BN11 3DH.