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Site Registration

If you would like to access the members-only areas of the Brighton Road Baptist Church web site, please take the time to register your details with us.

Basic Details

Title:

* First Name:

This information is required.

* Last Name:

This information is required.
Your last name should start with a letter.

Date of birth:

/ / (dd/mm/yyyy)Please enter a valid date.

Gender:

* Email Address:

This information is required.
Please enter a valid email address.

Address

Line 1:
Line 2:
Line 3:
Town / City: City:
County: State:
Postcode: Zip code:
Country:

Phone Numbers

Mobile:

Please enter a valid phone number

Home:

Please enter a valid phone number

Work:

Please enter a valid phone number

Additional Details

Forums/chatter display name:

Nickname:

Privacy Settings

Connections visible to:

Connections can see:

Site members can see:

The public can see:

Consent

I consent to my personal information being stored and used by Brighton Road Baptist Church for administration purposes. I understand that I can withdraw my consent at any time. Further information is available in the privacy policy.

Application Information

Please include any additional notes or comments which would help us process your registration more quickly, for example, please let us know what your connection is with Brighton Road Baptist Church:

Please read our Privacy Policy to find out how we use this information.

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Brighton Road Baptist Church, Horsham, West Sussex, RH13 5BD United Kingdom

Email: office@brbc-horsham.org.uk
Tel: 01403 211150

Contact BRBC

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