Next-of-Kin or Representative's Consent Form

We need to ensure that we are compliant with the new General Data Protection Regulations (GDPR) that come into force on 25th May 2018. We wish to check that the personal data we have been given about you is correct and that you give your informed explicit consent for us to hold that data. The lawful basis for us holding and processing your personal data is that you have consented to us having it and/or it necessary to enable us to provide the burial service requested when you became a member of the Association. Any personal data we hold will only be used to contact you about your role as a representative, to send you information about the Association or to comply with our statutory duties. We will not pass your data to any third parties and you have the right to ask for a copy of the data we hold about you at any time.
* indicates required information


Title: *
Forename(s): *
Surname: *

Next-of-Kin or nominated REPRESENTATIVE.

Relationship to Member: *      
Title: *
Forename(s): *
Surname: *
Address line 1: *
Address line 2:
Town/City: *
County: *
Postcode: *
Phone: *
Mobile Phone:
Email: *

By sending this form you confirm that you accept our Membership Rules which you can read here and consent to us holding your personal data. We prefer to send you future communications by email. I am happy to receive communications by email OR please send by post

I have read and accept the Membership Rules and consent to my personal data being held: (please click this box)