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Registration Form

All fields marked with an asterisk (*) are required

Contact Details Name: *
Organisation:*
Position: *
Phone: *
Email: *
Where is your organisation based?*

Communities of Interest

Please select which areas of the thematic area you would like to receive information / become involved in.

Healthy
Stronger
Safer

Other Communities of Interest

As part of the work of the Devon Consortium, there are other Communities of Interest that are being managed by other specialist infrastrucutre organisations. VYS (Voluntary Youth Services Devon) is managing the Children and Youth COI, and Age Concern Devon is managing the COI for Older People. If your interest is in these areas, please tick the relevant following boxes for your details to be passed across to these organisations.

Children and Young People
Older People

Levels of Involvement

Please select your levels of involvement

Level 1 - to receive information
Level 2 - I want to be consulted on the on-going work
Level 3 - we will be interested in delivery of work
Level 4 - representation of VCS

Declaration

I declare that the above information is correct and that I am authorised by my group to provide this information. The contact people named above know that their details have been included on this form. I understand that these details will be sent to my local CVS; if my organisation is not already listed on their database, they will contact me for further details about the work of my organisation.

I agree to these terms *

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Registration Form

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