Rivers Trust Expression of Interest Form NAME:
Address: PHONE NO. 1.
_______________________________________________________________ _________________________ EMAIL: _______________________________
Are you a member of a group or organisation? Yes
If yes, what is the name of the group: ______________________________________
Location (Postcode/Council Area):
In what capacity would you like to get involved? (please tick one) • I would like to be actively involved in the formation of a Trust or Association i.e. Committee/Board member •
I would like to be kept updated regarding the formation of a Trust or Association and its activities
Other, please specify: __________________________________________________ 4.
Area of Interest: (Tick appropriate) Angling
Other (please detail): ________________________________________________________
Additional Comments: _______________________________________________________
________________________________________________________________________________ The Local Authority Water and Communities Office is a data controller under the Data Protection Acts, 1988 and 2003. The personal data supplied on this form will be added to a mailing list for A Dodder Rivers Trust or Association and will be maintained by The Waters and Communities Office and The Trust / Association. It will not be used for any other purpose and will not be distributed to any other organisations or systems. If you wish to be added to this
mailing list tick here:
Sinead Hurson | Community Water Officer
085 8083725 | firstname.lastname@example.org