eNews & Phone Directory Order Form Briar Hill Resident Registration eNewsletter & Telephone Listing in our Phone Directory Please enable JavaScript in your browser to complete this form.Disclaimer:Thank you for voluntarily supplying your name, phone number, address & email. This data is retained for the sole purpose of registering you with the Briar Hill Community Centre. You email will be used to provide you with access to the BHCC eNews. If you permit, your phone number will be added to the next edition of the Briar Hill Phone Directory. The BHCC will take every precaution to protect your privacy. Your information will never be shared. By submitting this form you understand & accept this Disclaimer.Name of Resident 1 *FirstLastName of Resident 2FirstLastAdditional ResidentsStreet Address *Include in BHCC Telephone Directory *YesNoCity / Province *We would like to receive the weekly eNews emails and other notifications as required *YesNoPostal CodePhone *First Email *Additional Phone Number (Will not be included in the Directory)Second EmailDate *For Office Use Only:Master: ____________ CC: ____________ Date: ____________Note: Please print a copy of your completed form for your records. Remember to use the PRINT PAGE button below to print the form, before using the SUBMIT button.Submit
eNews & Phone Directory Order Form Briar Hill Resident Registration eNewsletter & Telephone Listing in our Phone Directory Please enable JavaScript in your browser to complete this form.Disclaimer:Thank you for voluntarily supplying your name, phone number, address & email. This data is retained for the sole purpose of registering you with the Briar Hill Community Centre. You email will be used to provide you with access to the BHCC eNews. If you permit, your phone number will be added to the next edition of the Briar Hill Phone Directory. The BHCC will take every precaution to protect your privacy. Your information will never be shared. By submitting this form you understand & accept this Disclaimer.Name of Resident 1 *FirstLastName of Resident 2FirstLastAdditional ResidentsStreet Address *Include in BHCC Telephone Directory *YesNoCity / Province *We would like to receive the weekly eNews emails and other notifications as required *YesNoPostal CodePhone *First Email *Additional Phone Number (Will not be included in the Directory)Second EmailDate *For Office Use Only:Master: ____________ CC: ____________ Date: ____________Note: Please print a copy of your completed form for your records. Remember to use the PRINT PAGE button below to print the form, before using the SUBMIT button.Submit