SAM Submission Form (Fluent)

SAM Submission Form with Post

About you

(these details will not be published)

First Name

Last Name

Phone/Mobile

I consent to Chuches Together in Cornwall storing and publishing the information given below
and sharing with other appropriate sites for the purpose of publicising the service

Service details

will be published on CTC infoHub and made available to other services

Service Name

Brief description

Full description

Address

Address Line 1

Address Line 2

Town

Postcode

Opening hours

Disabled access

URL 1

URL 2

Social media

Facebook

Twitter

Instagram

other – describe below

Other social media

Contact First Name

Last Name

Phone/Mobile

Who may use the service?

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SAM Submission Form (Fluent)

About you

Service details

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