Tenant Engagement Registration

Label
1. PSPS Variables
13. Your registration information
  1. Details
    
    Title:
    
    First name:*
    
    Surname:*
    
    What number shall we contact you on?
    
    Please provide if you have any other phone number:
    If you supply a contact number, it may be used to contact you regarding your request.
    
    Email address:*
    Your email address may be used to contact you regarding your request.
    
    Confirm email address:*
    
    Choose your status:*
    
    Please state what 'Other' status you have:
    
    Please tell us what why you would like to get involved with us (max 350 characters):*
    
    What are you interested in?*
    You can select multiple options.
    
    Online groups
    
    Email updates
    
    Scrutiny of services
    
    Topic based Focus Groups - complaints and sheltered housing
    
    Topic based Focus Groups - property or tenancy
    
    Checking our literature
    
    Helping us with developing Annual Reports
    
    Attending meetings
    
    Training
    
    Do you need any help or support to get involved?
    You can select multiple options.
    
    Transport to get to meetings
    
    Accessible meeting venues
    
    Alternative language for documents
    
    Alternative format for documents
    
    Meetings at particular times
    
    Please state your requirement for the accessible meeting venues (max 350 characters):
    You may include details such as wheelchair user, no steps, hearing loops, help with hearing etc.
    
    Please state your requirement for alternative language for documents (max 350 characters):
    
    Please state your requirement for alternative format for documents (max 350 characters):
    
    Please state your requirement for meetings at particular times (max 350 characters):
    You may include details such as within school hours, after work, etc.
    
    Anything else you would like to tell us (max 350 characters):
    
    Address Details
    
    Label
    
    UK Address lookup
    
    Address lookup
    
    Postcode:
    
    Address
    
    Address line 1:
    
    Address line 2:
    
    Address line 3:
    
    Address line 4:
    
    Town:
    
    Postcode:
    
    Your contact address may be used to contact you regarding your request.

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Tenant Engagement Registration