Request for Inclusion

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    Request for Inclusion in MerseyWorld

    You MUST

    • Have premises in Merseyside to be in MerseyWorld
    • The site address (URL) must be for the Merseyside office.

    By completing this form, you are agreeing to be bound by our Terms and Conditions.

    Information supplied on this form is for use only by Connect in relation to the publishing of MerseyWorld. It will NOT be passed to any third party without your consent.



    About your organisation (fields marked * must be filled in):
    Company/Organisation*:
    Street1*:
    Street2:
    City*:
    County*:
    Postcode*:
    Country*:
    Phone*:
    Phone (Extra):
    Fax:
    E-mail*:
      No e-mail? - go to merseymail and get your free web-based e-mail
    How did you find out
    about Connect?* :


    About you (fields marked * must be filled in - fields marked + should only be filled in if your address differs to the organisation address):
    Title* :
    First Name*:
    Initial:
    Last Name*:
    Job Title/Position*:
    Department:
    Street1+:
    Street2:
    City+:
    County+:
    Postcode+:
    Country+:
    Tel*:
    Tel (Extra):
    Tel (Mobile):
    Fax:
    E-mail:


    About your site (fields marked * must be filled in):
    Site Address (URL)*:
    Site Name*:
    Site Description*:
                             (This will be used in MerseyWorld listings)


    What classification(s) do you appear under? (See List)
    Entry 1:
    Entry 2:

    We reserve the right to amend requests to correct spelling mistakes or faulty information