Title MrMrsMissMsOther Name * Surname * Email * Home phone number * Mobile number * Status Person living with PSPPerson living with CBDCarerFamily/friend of someone affectedFundraiserHealth & social care professional Address * I consent to PSPA contacting me by telephone or email to complete my registration Communications preferences We greatly appreciate your support and would like to keep in contact with you about our news - including stories and information about our supporters, research projects, volunteering & fundraising activities and appeals. Please select all the ways you would like to be contacted below: EmailPostPhone I don’t want any further contact from PSPA. PSPA will use your personal information only for the purposes for which you have given us consent. We will keep your data confidential and safe, and will never swap or sell it and you can always withdraw your consent at any time by emailing firstname.lastname@example.org or calling 01327 322410. You can see our privacy statement at https://pspassociation.org.uk/home/privacy-policy which explains how we collect, store, manage and use your personal information.