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Use the form below to sign up

Title Title is required

First name First name is required

Surname Surname is required

Email Address Email Address is required

Password Password is required

Mobile Mobile is required

Company Name (Please leave blank if you do not have a company name yet) Company Name (Please leave blank if you do not have a company name yet) is required

Contact Job Title/Position Contact Job Title/Position is required

Postcode Postcode is required

Look-up

Building Name Building Name is required

Street Street is required

Town Town is required

In completing this form, you understand that Lancashire County Council (Boost) has a requirement to process your personal data. Lancashire County Council will only ever process your personal data where it has a clear lawful basis for doing so in full compliance with data protection legislation - UK GDPR and The Data Protection Act (2018). We will ensure the security and confidentiality of your personal data at all times. For full details of how Lancashire County Council handles your personal data please see our privacy notice here: https://www.boostbusinesslancashire.co.uk/terms-conditions/privacy-notice/