iCAN online application form

Preferred Title
MrMrsMissMs
Name

First

Last
Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Telephone Number for receiving calls*
Email
Please select how you want to receive alerts. You can choose one, two or three.
Telephone to hear recorded messageE-mail
*Recorded messages to telephones will be delivered between 9.00am and 7.00pm. If this is not suitable please call 01619121377 to advise and arrange a more convenient time for you.
Age Group - please select relevant age group

If you want help with completing this form or if you want us to complete it for you, please ring Trading Standards on 01619121377.
Authorisation
I agree to join Trafford Consumer Alert Network

By checking this box, I authorise Trafford Council to place my details on a database. I agree to receive automated telephone calls and/or emails/text messages that are generated by the Trafford Consumer Alert Network communications system