Infobase North Lanarkshire

Infobase Sign-up

We don't want to miss out anyone, so you can sign up here to make sure we've got your up-to-date details.  The form shouldn't take any longer than 5 minutes to complete.  When data collection begins this summer, we'll be sure to give you a call to arrange the full Infobase interview.

If you have any questions please contact Gavin Bell on 01236 764866.

1. Name of group or organisation
     
2. Group's main activity or purpose (max 100 chars)
   
3. Does the group have a main target group of users?  e.g. Children, people with ill health, special interest groups, men, etc             
  If yes, please give details. 
   
4. Is the group open to the entire community?             
    
5. Is the group part of a larger organisation or network?             
  If yes, which organisation or network? 
   
6. Does the group have a constitution or set of rules?
   
7. Does the group have a governing body? (this might be called a management committee, board of directors or a board of trustees)             
    
8. What geographic area does the group cover?  
Please specify
   
Please specify
 
9. Main contact person for group
First Name  
Last Name  
   
10. Main contact's involvement in group (select all that apply)
 
 
    Please specify 
 
11. Main contact telephone number  
Tel No Most suitable time to call
 
12. Main contact alternative telephone number
Tel No Most suitable time to call
 
13. Main contact address  
Address line 1   
Address line 2   
Town   
Postcode   
Is this a home address?                   
   
14. Main contact email address
   
15. Do we have your permission to store this information on the Infobase Database and display it on the Infobase website?                  
   
16. Please tell us about any other groups you are involved with or that you think might be interested in signing up for Infobase: including the group's name and contact details.
   
17. How did you first hear about Infobase?
 
 
 
 
 
    Please specify 
   
Thanks for signing up to Infobase, we will be in touch soon !
        

Please report errors and updates by emailing us.