Directory of Organisation

Our NBN Membership Form could take up to 40 minutes to complete.

Please note, you will not be able to save your progress on this form. Please ensure you have time available to complete the form.

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    Organisation Details


    Small organisations less than 500,000 a year turnover and Larger organisations more than 500,000 a year turnover

    On a computer if you wish to select multiple areas, click on an area so it is highlighted in blue, then hold down 'Ctrl' on your keyboard and use the downward arrow on the scrolling bar or the downward arrow on your keyboard to scroll down and select other areas by clicking them so they go blue too. Once you click out of the box the areas you've selected will be highlighted in grey. Use your mouse to select relevant areas, please don't try typing

    On a mobile or tablet, simply tap the areas you wish to select.




    Facebook:
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    The information you provide in the following section is mandatory for our purposes, but will of course only appear on our website if you have selected "Yes" to the above question.

    Please be aware, if you do choose to appear on the directory but do not answer the section below it will appear blank on your profile on our website directory so please fill out as much as you can.

    The contact details you have provided at the top of the form will not be shown on the website. We will facilitate the referral and connections once someone has selected a Support Broker from our online Support Broker directory.





    Please answer "Yes" or "No" and include what you currently charge where applicable.










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    NBN Consent Form

    As a Member of Imagineer/National Brokerage Network, it is important we ask you about your contact preferences and what information you want to receive.

    We need to ensure that you are happy with us keeping your details so that we can contact you with information about our activities and find out about what we are doing.

    To help Imagineer/National Brokerage Network meet the data protection regulations we need to find out if you are happy for us to store your data – in accordance with GDPR.

    Please complete your details and contact preferences below.



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    To Opt Out In Future:

    You can opt-out of receiving information from Imagineer at any time by writing to or emailing Imagineer via email: info@imagineer.org.uk / Post: Imagineer Development UK CIC, Sowerby Bridge Fire & Water, Sowerby Bridge HX6 2QG. Telephone: 07572322200.

    We take your data security seriously and will never sell or swap your details with third parties. You can withdraw your consent for Imagineer to store your data at any time by calling 07572322200 or emailing info@imagineer.org.uk. Information about how we protect and use your personal data is set out in our Data Protection Policy which we can send you a copy if you wish to see this.

    If you require having access to the personal information Imagineer has stored about you please could you request this in writing to Imagineer Development UK CIC, Sowerby Bridge Fire & Water, Sowerby Bridge HX6 2QG.

    If at any time we have made an error with your personal details – please tell us!
    We will then rectify the error on our systems – then inform you in writing.

    Once you have clicked 'Submit', please wait for the confirmation message to appear below, this could take a few seconds.
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