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registration details

* Username

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* Title - Please Select - Mr Mrs Miss Ms Dr Professor

* First name

* Surname

* Organisation

* Telephone

* Email

* Confirm email Address

* Work postcode

* Job title

main areas of focus in your job

You may tick one or more:

Agriculture/Fisheries

Food manufacturing/Processing

Food retailing

Catering

Communications/Media

Education

Health improvement

Community initiatives

Primary care

Research/Academia

Other

future communications

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privacy policy

Thank you for taking the time to complete this form.

I have read the Health Scotland Privacy Policy and agree to my personal information being stored and used by Health Scotland for the purposes of providing the Food and Health Alliance, including the website and associated online services.

We would now like to seek your permission to publish your name, job title and email address in the Members' database section of the website. The Members' database allows you to search for contact details of other registered members in your or other areas. This will enable members of the Alliance to communicate and collaborate directly.

I agree to my name, job title and email address being published in the Members' database section of the Food and Health Alliance website.