Change of Member's Details - Wadhurst & District

YOUR NAME IN FULL

IF YOU HAVE CHANGED YOU NAME/TITLE, PLEASE LET US KNOW YOUR NEW NAME IN FULL HERE

TITLE

Single Line Text

HAVE YOU CHANGED YOUR HOME ADDRESS? IF YES, LET US KNOW HERE

PLEASE ENTER YOUR NEW ADDRESS IN FULL WITH POSTCODE

HAS YOUR EMAIL ADDRESS CHANGED? IF YES, LET US KNOW YOUR NEW EMAIL HERE

Email

Confirm Email

HAVE YOU CHANGED YOUR TEL. NUMBER? IF YES, PUT YOUR NEW TEL NO. HERE

PLEASE LET US KNOW YOUR NEW TELEPHONE NUMBER (THE BEST NUMBER TO CONTACT YOU)

DO YOU HAVE ANY NEW SPECIAL NEEDS. IF YES, PLEASE LET US KNOW HERE HOW WE MAY BE ABLE TO ASSIST YOU

NEW CHANGED SHOULD

HAS YOUR EMERGENCY CONTACT CHANGED?. IF SO, LET US KNOW THEIR NAME AND RELATIONSHIP

Please let us have the name of someone we should contact in an emergency and their relationship to you

NEW EMERGENCY CONTACT TEL NUMBER

GDPR Agreement

I consent to the information I have submitted via this website being stored and used for the purposes of ongoing communication and analysis.

ARE THERE ANY OTHER CHANGES YOU THINK WE SHOULD BE AWARE OF? PLEASE LET US KNOW HERE