Refer a Friend

Your First Name:
Your Surname :
Your Email Address:
Your Phone Number:
Your Centre:
Your Membership Number:
Referral First Name :	First name of the person you would like to refer to sign up as a member
Referral Surname:	Surname of the person you would like to refer to sign up as a member
Referral Email Address:	Email address of the person you would like to refer to sign up as a member
Referral Phone Number:	Phone number of the person you would like to refer to sign up as a member
Consent:	I understand that the personal data that I submit on behalf of myself and the referral will be required to process my request. I understand that this data will only be used for the purposes of the request and will be held in accordance with current data protection legislation.

By submitting this form you consent to Antrim and Newtownabbey Council contacting you in relation to this enquiry.

For details on how we use your information please view our GDPR section.

E: info@antrimandnewtownabbey.gov.uk