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IF YOU WISH TO JOIN please complete the following sections and submit your application by clicking on the 'Submit Application' button at the end of the form. Thank you.

* Fields marked with an asterisk are required.

Basic Details
Name *
Address *
Postcode *
Telephone *
Email *
Devon Senior Voice market or coastal town area that you wish to join *
How would you like to be involved?
Receiving information about local services
Taking part in consultation about local services
Event/meeting attendance
Helping run your local Devon Senior Voice
Contributing your skills and time in other ways (please state below)
Devon Senior Voice aims to give voice to issues that you may have with the intention of changing things for the better. What are your top three concerns?
Description of any skills and interests you have
Please select your age group
50-59 60-69 70-79 80-89 90+
How did you hear about Devon Senior Voice?
How you would prefer to be contacted
Email Post
For validation purposes, please enter the code you see below

The information which you provide on this form will be held by the Devon Senior Voice. This information will be used by the Devon Senior Voice for the purposes of keeping in contact with members and involving them in the way they prefer. Your personal information will be kept secure and will not be held for any longer than is necessary. We will not disclose any information which would identify you to anyone else, unless you give us your permission to do so. If you have any queries about this please contact the Devon Senior Voice on 01803 732678 or