Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Contact Number *

(###)

###

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Consent for Application *

By submitting this Application, I acknowledge and consent that if my application is successful, I will be a Member of the Association and I will abide by the Articles of Association and the Rules of the Association, of which I have been provided copies. If you would like a copy of the Articles and the Rules please email PSPA@edelmansmithfield.com

I acknowledge and consent

Consent for the sharing of information *

By submitting this Application, I acknowledge and consent to the following: 1. The Association may collect, store, and process my personal data for the purposes of administering my membership, providing membership benefits, and maintaining accurate membership records. 2. I understand that certain personal information (such as my name, membership status, and contact details) may be shared with other Members for the purposes of networking, member directories, and internal communications, unless I opt out below. 3. The Association will not share my personal information with external third parties except: a. where required by law; b. for purposes of fulfilling Association activities (e.g. event registration, group communications); or c. with trusted third parties acting on behalf of the Association in a professional capacity, who are under obligations of confidentiality. 4. I have the right to access and correct my data, and I may withdraw or modify this consent at any time by contacting the General Secretary. Please indicate your preference:

I consent to my contact information being included in the Association’s member directory and being shared with other Members for Association-related purposes.

I do NOT consent to my contact information being included in the Association's member directory or shared with other Members.

Your consent preferences will not affect your eligibility for membership but may impact your ability to participate in certain networking or collaborative opportunities or accessing certain benefits provided by the Association.