Please fill in the form below. When you click 'Send' it will be sent as an email to John Summerwill. Alternatively, you may print a hard copy and post it to the Circuit Office. Click here for a printed form
Email address: * ESSENTIAL
Title and Name (e.g. Mrs Name Surname): * ESSENTIAL
Postal address + postcode: (unless you wish to exclude contact by mail)
Phone: (unless you wish to exclude contact by phone)
Church: (used to distribute directories etc)
Click on all the boxes below to which you consent; leave blank the ones you do not consent to. I CONSENT TO THE LEEDS NORTH & EAST CIRCUIT CONTACTING ME BY:
I CONSENT TO MY CONTACT DETAILS BEING SHOWN OR GIVEN AS FOLLOWS
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