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Register with SoS for Residents

Use this form to register for your nearest Switch on Shropshire Community Broadplace

First Name*
Surname*
Company
Address 1
Address 2
Address 3
City
County
Post Code*
Telephone*
Fax
Email
Comments

*Fields marked with an asterisk are compulsory.


Data Protection Statement

The information you provide is subject to the provisions of the Data Protection Act 1998. It will be used solely for the purpose of enabling the Switch on Shropshire Community ICT Advisor to communicate with you. It will be held within the Switch on Shropshire systems at Shropshire County Council. The data within this form will not be shared with any other individual(s) or organisation(s) without your express permission.

Switch on Shropshire is a partnership of Shropshire County Council and other organisations. Shropshire County Council can only take responsibility for data held within its own systems. If you submit information to any other members of Switch on Shropshire, they will be responsible for data protection.

The information you supply on the form will be retained by Switch on Shropshire for one year, after which it will be deleted.

Please note that information provided over the Internet is not guaranteed as secure. Information can be intercepted, lost, re-directed, changed or read by other people. By completing and submitting this form you are accepting that you are aware of the above risks. If you are sure that you want to send this information via the internet, select SUBMIT to submit or CLEAR to erase any information you have entered. Alternatively, you may download and print the copy of this form attached at the foot of this page. The printed copy may then be posted to the address provided on the form.


REF: SoSres01 / RET: (12 months from submission)

Documents

To view one or more of these documents you will require Adobe Acrobat Reader, which is free for download from the Adobe website. The ability to view these documents online is provided by Adobe at their access.adobe.com website.