Consent Form

Due to new legislation, we need your consent to keep and use your details.

If we do not hear back from you by 13.04.2018 we have to, by law, remove your details from our records.

We would like to keep some of your details on record so that we can contact you to keep you informed of the Dialog Centre’s activities. If you are happy to do this please take a moment to fill in this form.

All personal information will be treated as private and confidential and will not be disclosed to any other organisations. You can ask to be removed from you records at any time by e-mailing or by writing to us.