Name

Address (will not be shown on website)

Email Address (will not be shown on website)

Please indicate if your endorsement is for an individual or a group/organisation by ticking the appropriate box here:
Individual Endorsement
Group/Organisational Endorsement
Group/Organisation Name

Endorsement (Please write your message of endorsement here, ie. why you support the Declaration and/or reason for interest)

The tick boxes below are to indicate whether you would like your endorsement to be public or private. Public endorsements will be shown on the endorsements page of the website. Private endorsements will be included in the count for the total number of endorsements received for promotional purposes, but will not be named online.
Public Endorsement Private Endorsement

You will automatically be added to our Mailing List to receive news and updates. If you do not want to receive news and updates, please tick this box: I do not want to be added to the Mailing List

If you are interested in the Declaration, and want to be sent news but do not want to endorse the Declaration (even privately), please email danadeclaration@qeh.ox.ac.uk and ask to be put on the Mailing List.

Any Further Comments (Comments in this section will not go online)

The Data Protection Act 1998
All data is securely held and is treated confidentially and with sensitivity for the benefit of the Dana Declaration and its members. The data is for the Dana Declaration use only. Data is not made available to any outside body. In submitting or returning this form, you are agreeing to the processing of your personal data as described above. You have the right to object at any time to the use of your data for any or all of the above purposes. To do this, or have your name removed from the database, please inform the Webmaster at danadeclaration@qeh.ox.ac.uk .

Personal Statement
I understand that my address details and personal information given here will be stored and used within the provisions of the Data Protection Act 1998, in respect of the Dana Declaration web site (as described above), and am content under these terms to provide the above information to the Dana Declaration web site.

I agree to the above statement: I do not agree to the above statement: