HCA Membership Application Form – Lansdowne Publishing Partnership Limited

Application for *

Title *

Name *

First

Last

Business Address *

Postcode *

Private Address *

Postcode *

Address for correspondence *

Business Address
Private Address

Telephone *

Email *

Twitter

Employer *

Job Title *

Date commenced current job *

How did you hear about the Hospital Caterers Association? *

Branch through which you would like to be attached to *

Have you applied through another Branch within the past 5 years? *

Details of relevant professional qualifications *

Details of previous relevant employment during the last 5 years *

I certify that the statements contained herein are true. I agree that if admitted to the membership of the Association by the Board, I will be governed by the Rules of the Association and will advance the aims and objectives of the Association, as far, as shall be in my power. *

I agree that the details contained within this application form are to be circulated to the Board of the Association, in order for my membership to be considered. *

I hereby give my consent for the Hospital Caterers Association to hold my data under the terms and use stated *

To comply with the General Data Protection Regulations please tick the box above to allow us to hold your contact details which include your name, job title, the organisation you work for, mailing address, email address and telephone number. This information will only be used to send you the HCA Journal along with any other correspondence issued by the Hospital Caterers Association or to send you emails informing you about HCA developments, news and the National Forum. You data will only be used by the Hospital Caterers Association or the Contractors we have authorised to use this data and will not be passed on to any other third party.

For Overseas Membership applications please include details of two referees

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