L.N.W.F

Membership Application Form

Title

Forename

Initials

Surname*

Address*

Postcode*

Email Address*

Phone Number

e.g. 05555 543345

Mobile Number

e.g. 07111 111111

Fax Number

e.g 05555 543345

Details of your Local Neighbourhood Watch Scheme

Name of Watch

Your Position

Approximate Number of Homes

e.g. 213

Police Ward Beat

Lancashire Police Division

Western Northern Southern Central Eastern Pennine

With your permission, LNWF may pass your details on to other official Neighbourhood Watch organisations / Police Authority. Your details will NOT be passed to any organisation without your prior consent.

I accept the the above statement

Check this box to confirm (click)

Your details may be held on our computer database and processed in accordance with the Data Protection Act and will not be passed on to any organisation without your consent.

I accept the above statement

Check this box to confirm (click)

Click submit to send the form electronically

If you do not want to send the form electronically please either print a PDF or a Word document. The address to send it to is on the form.

Return to the home page