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Join a BBC Local Radio General Election 2017 debate * indicates mandatory fields * Full name *Address *Postcode *Day time phone number Evening phone number Mobile phone number *Email address *What is the FIRST question you would like to ask?

downloads.bbc.co.ukdownloads.bbc.co.uk/wm/pdf/join-a-bbc-local-radio... · Web viewThe BBC promises that you will not receive unsolicited mail by supplying your personal details

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Page 1: downloads.bbc.co.ukdownloads.bbc.co.uk/wm/pdf/join-a-bbc-local-radio... · Web viewThe BBC promises that you will not receive unsolicited mail by supplying your personal details

Join a BBC Local RadioGeneral Election 2017 debate

* indicates mandatory fields

*Full name

*Address

*Postcode

*Day time phone number

Evening phone number

Mobile phone number

*Email address

*What is the FIRST question you would like to ask?

Page 2: downloads.bbc.co.ukdownloads.bbc.co.uk/wm/pdf/join-a-bbc-local-radio... · Web viewThe BBC promises that you will not receive unsolicited mail by supplying your personal details

*What is the SECOND question you would like to ask?

*How old are you? (Please mark an X in the relevant box)

18-2425-3435-4445-5455-6465+

*What is your gender (Please mark an X in the relevant box)

MaleFemale

*What is your occupation?

*To which ethnic group do you belong?

*Do you consider yourself to have any disabilities? (Please mark an X in the relevant box)

YesNo

*Do you require wheelchair access? (Please mark an X in the relevant box)

YesNo

*For which political party are you likely to vote in the General Election?

Page 3: downloads.bbc.co.ukdownloads.bbc.co.uk/wm/pdf/join-a-bbc-local-radio... · Web viewThe BBC promises that you will not receive unsolicited mail by supplying your personal details

*Political Party Membership (Please mark an X in the relevant box)

I’m an active memberI’m a member, but I don’t take an active roleI’m not a member

*Are you active in any campaign groups? (Please mark an X in the relevant box)

YesNo

*If yes, what is the campaign?

*Are you standing as a candidate in any forthcoming election?

The BBC promises that you will not receive unsolicited mail by supplying your personal details. The BBC will use the information you supply to select an audience which reflects UK society and is balanced in terms of age, gender, ethnicity, geographical location, political opinions, disabilities and occupation including unemployed, and for statistical analysis of audiences. For full details of our policy regarding the personal information we collect about you visit our Privacy and Cookies page. All personal information supplied is held securely by the BBC and in accordance with the Data Protection Act 1998. Your details will not be used for any other purposes.

*This information will be collected by the BBC. Are you happy for your details to be retained for up to two years so that we may contact you about appearing in the audience of other BBC programmes? (Please mark an X in the relevant box)

YesNo

*By marking X this box you agree to the BBC processing your data for the purpose of providing a balanced audience for the debate.

Yes