Lodge-Mates Sharers Consent Form

Warmwell Sharers Lodge - Consent Form

If you would like to "share emails" your lodge-mates before Warmwell 2018, please complete this form to allow us to pass on your email address to your lodge-mates. If you decline (which is absolutely your right to do so), then we will not pass on your details, nor will you receive any of your lodge-mates' details. Ends Saturday 17th November 2018
We always respect Data Protection.

* Indicates required field

Name *

First

Last

Email *

My Lodge Number (Must be included and is on your receipt from MJRoc OR REQUEST IS REJECTED!) *

I am in the following "sharing" lodge..... *

Female Sharing Lodge Male Sharing Lodge Couple Sharing Lodge

I hereby...... *

Any Other Comments.... *

Thank you and we look forward to welcoming you to Warmwell next week! Now press Submit!

Submit