B:Music Student Sign Up Form
Name
*
First Name
Last Name
Personal Email
*
Please DO NOT use your university email for this form
Landline Phone
-
Area Code
Phone Number
Mobile Phone
*
-
Area Code
Phone Number
University or college
*
Please Select
Aston University
BCU
Bournville College
Coventry University
DeMontford University
Newman University
South & City College
UCB
UOB
Other
Subject area
*
Please Select
Arts
Sciences
Humanities
Other
Course end date
*
/
Day
/
Month
Year
Date
Term Time Address
*
House/Flat No & Buidling/Street/etc
Address Line 2
City
County
Post Code
Home Address (optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From time to time B:Music will send you recommendations and ticket offers for similar events, as well as opportunities to support our work
Please tick the box if you are happy to receive this information by email
Data Protection
B:Music is committed to protecting your privacy. Any information we collect from you will be used in accordance with, the Privacy and Electronic Communications Regulations 2003 (PECR), the Data Protection Act 1998 (DPA) and any replacement laws, and from May 2018, the General Data Protection Regulation (GDPR).
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