Add your Action Group

Please complete the following details:

Your contact info

Name of person registering group:

Address (line 1):

Address (line 2) :

Town:

County:

Postcode:

Telephone:

Email:

What type of group are you school/college based group:

If Other:

What have you decided to call your group?:

How many members are in your group:

Age of your group's members :

What particular areas of campaigning are you interested in:

Would you like any on-line support/advice on running your group? This may include consent forms, advice on engaging with local media to promote your campaign, promotional materials etc.:

Yes

Would you like to receive a quarterly newsletter about Anti-Tobacco Youth Campaign national activity?:

Yes

Any other information or comments about your group:

Thank you for taking time to complete the application form. We wish you every success in the running of your group and look forward to hearing about your local activity which is essential for the development of the Anti-Tobacco Youth Campaign.

Top Links

Roy Castle Lung Cancer Foundation

OUR STUFF

Tag Cloud