Military Memories Book Launch

Registration Form

Please complete these questions to register for the book launch

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* 1. Name and address details

Name

Address

Address 2

City/Town

Postal Code

Country

Email Address

Phone Number

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* 2. Status

Serving - Armed Forces

Ex- Service Personnel

Armed Forces Community - family members

Work for a military charity or organisation

SSAFA team member

Member of the public.

Other (please specify)

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* 3. Do you have any accessibility requirements? Our suite is on the 1st floor would you require to use the lift? If you sought medical advice are there any adjustments that we need to make on your behalf? If you carry any emergency medication such as an Epi Pen, Inhaler or Insulin please inform us here too.

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* 4. I consent to the use and reproduction by SF and funding charities of my name, likeness, appearance in photographs, films and recordings by all means and in all media throughout the world in perpetuity and for no additional compensation (unless prohibited by law) for the purpose of advertising, publicity and otherwise in relation to the exploitation of the charity and/or the promotion of the charity and the exploitation of the commercial rights relating to the charity provided that such use does not imply.

Yes

No

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