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About your charity organisation |
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Charity
organisation name |
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What
services does your charity provide |
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Number
of volunteers |
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Number
of staff |
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Location
charity covers |
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Contact details |
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Named
contact for all communication |
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Contact
postal address |
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Contact
telephone number |
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Contact
email address |
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Charity
organisation website |
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Data Protection (please tick) |
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Can
we share your contact email and website address on our website? |
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Can
we use your details to contact you about news and events from MAD Scotland? |
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Membership |
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Registration
for a charity group is free and you’ll receive a certificate of registration.
If you’d like to purchase a window sticker (£5.00 each) or patches (£3.50
each), please include details of how many and enclose the correct amount in a
cheque made out to MAD Scotland with your registration application. |
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Signed |
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Date |
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