OXPIP Supporter Contact and Consent Form

Thank you for your interest in joining our OXPIP community, please complete this Contact and Consent Form and we will be in touch shortly.

About You

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* 1. Please enter the following details

Full Name

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number

Your Contact Consent

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* 2. I am happy to be contacted by OXPIP regarding charity news and initiatives

Yes

Please be aware that your contact and personal information supplied to OXPIP is stored securely electronically.

By providing us with your email address you are agreeing to us to contact you by email. We will use these details to circulate information on OXPIP news, events and fundraising projects only.

Should you wish to be removed from this mailing list at any time, please email development@oxpip.org.uk. The OXPIP Privacy Notice can be found at oxpip.org.uk/privacy-notice

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* 3. By checking this box and typing my name below, I am electronically signing to give my consent

Yes

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* 4. Please enter your name below to electronically sign

Ways To Be Involved

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* 5. I am interested in:

Receiving the OXPIP Newsletter

Attending OXPIP fundraising events

Supporting us with organising OXPIP fundraising initiatives

Making a single or regular donation to enable our Parent-Infant Therapy provision in Oxfordshire

Becoming an OXPIP Ambassador to help us raise awareness about OXPIP

Becoming a Member of OXPIP to support OXPIP’s aims and objectives

Thank you for your support!