Bury Council Take a Seat
Please provide all required details to register your business with us
Name of person completing the form
*
First Name
Last Name
Business Name
*
Contact Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
*
Please Select
Shop
Salon
Food and Drink
Oher
Others, please specify below.
Business
Other
Please confirm what you are able to offer
*
Somewhere for people to sit
A glass of water
Access to toilet facilities
A hot drink
Something else
If you have selected 'Something else' above, please specify here
Do you require one of our ‘Age Friendly’ chairs?
Yes please
No thank you
I agree to provide a chair and to display the window sticker to promote that my business is ‘Age Friendly’ and follow the Take a Seat (TAS) guidance provided.
*
Agree
Disagree
I agree for my data to be stored by Public Health, Bury Council for the purpose of the TAS scheme and for my business to be added to the Bury Directory. Please view our Privacy Policy Statement.
*
Agree
Disagree
Please tick Agree if you would like to receive information regarding Age Friendly communities, i.e.invitations to future training/workshops and information.
*
Agree
Disagree
Submit
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