Information Evening

You can tell us that you are interested in coming to an information evening by filling out the form below.

Data will be held in compliance with the data protection act. Our record of your name and contact details will be deleted should you not take your interest in Samaritans volunteering any further. Data supplied in this form will not be used other than to confirm details concerning the information evening. Where possible this will be through e-mail.

Name and contact details

First Name

Surname

Address Line 1

Address Line 2

Address Line 3

Postcode

Telephone

E-mail Address

Choose the date you want to attend from a list

Which information evening would you like to attend?

Monday 23rd January 2006, 7:30pm

Monday 13th March 2006, 7:30pm

Monday 5th June 2006, 7:30pm

Monday 31st July 2006, 7:30pm

Monday 18th September 2006, 7:30pm

Monday 6th November 2006,7:30pm

Partners/friends/relatives are most welcome. It would be useful to say how many are coming in addition to yourself.

Please let us know how you heard about Samaritan Volunteering.

Any Comments (max 250 characters please)

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