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Last Name *
Address *
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Telephone *
E-mail Address *

When you register with Disability Action Haringey (DAH), you will provide us with information which we will store confidentially (primarily digitally, but this may include some hard copy files). Your privacy is important to us, and this form asks for your acknowledgement that DAH will gather and store your information securely and in line with the UK law on data protection. Our privacy policy is on our website and is available in hard copy on request.

 

By signing this form, you are consenting to DAH holding your data and contacting you, we may contact you using a variety of the options below

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Disability Action Haringey,
Winkfield Resource Centre,
33 Winkfield Road,
Wood Green Haringey, N22 5RP
Charity Registration Number 1191762