Image consent form

Please fill it the form below to confirm the use of your image on our website.

Name

First Name

Last Name

Address

Phone Number

Prefer a paper copy?

If you’d prefer a hard copy of the image consent form that you can send in to us by post, please email us on the email address below. We’d be happy to send you one.

Completed forms can either be returned to an RA committee member or scanned and sent to the GRRA e-mail address below. Alternatively, they can be posted directly to Westminster City Council using a pre-paid envelope that can be provided on request.

The Secretary at E-mail: grosvenorregencyra@gmail.com