Isle of Wight Council

	Chairman's Engagement Details
	Use this form to invite the Chairman to an event / venue.

Date of engagement

dd/mm/yyyyy

*

Event

Organiser's Details

*	Forenames
*	Surname

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode
	Telephone number (include area code)
	E-mail address
	Fax

Event Venue Details

*	Building name/number
*	Street address
*	Town name
	County
*	Postcode
	Telephone number
	Is there any parking?	Yes No
	If yes, where?

What time would you like the Chairman to arrive?

What time is your event due to finish?

On arrival, the Chairman would appreciate being met by the principal organiser and shown to his/her allocated seat (where appropriate). Please give details below of whom that person will be:

	Title
*	Forename
*	Surname

	Will the Chairman be expected to perform any duties, for example, make a speech/present prizes/etc.? Please give details:
	If the Chairman is expected to speak, please give details. You may be asked to elaborate upon this at a later date.

	Do you wish the Chairman's Consort to be present?	Yes No
	Will any refreshments be provided during the event?	Yes No
	If yes, please provide details:
	Dress: Please indicate suitable dress for the event:-	Formal Day Wear SmartEvening Attire Other...
	If other, please specify:

Please return this form to: Miss Julia Downer, Civic Affairs Support Officer, IW Council, County Hall, Newport, I.W. PO33 1UD or e-mail the information to: [email protected]

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013