Community Carousel Bristol 2014 Signup- VIP

Welcome to the Bristol Community Carousel! To sign up for the event, please complete your details below:

Contact Details:

First name*   Last name*
Company*   Title*
         
Mobile Phone   Email
   

Privacy statement & Declaration: Your contact details above will be held by Envision so that we can contact you regarding Envision activities taking place over the year. All other information collected above will be stored securely. By clicking submit below, you indicate your consent to Envision using the information you have provided for these purposes. We will not pass on your personal information to any other organisation without your consent.

Media Release: I understand that as part of my participation with Envision, photos, videos, sound bites and quotations may be taken for use in publications, reports, webcasts, podcasts and press releases and on occasion distributed to news outlets, radio stations and TV companies for the purpose of publicising and promoting Envision’s work. I give my permission to use such materials for the promotion and reporting of Envision’s programmes, projects and events .