Directory Request Form

    Name *

    Email *

    What is your request? *

    Is the entry for an individual or an organisation? *

    In case the entry is for an organisation, what is its name?

    What is the (contact) name to be entered into the directory?

    Which category does the entry belong in? (You can select more than one category by holding down Ctrl or the Command Key)

    Attach Image (logo or photo)

    Address

    Phone Number(s)

    Email Address(es)

    Website Links

    Social Media Links

    Description or Bio

    Yes, I'd like to receive confirmation that this directory request has been actioned.

    I acknowledge that to the best of my knowledge the submitted information above is correct. I confirm that the organisations and/or persons contained in the information submitted or amended, have given permission for this information to appear on the Scotland Island Community Website and/or any other publication owned or controlled by the Scotland Island Residents’ Association (SIRA), from this day forward. In the case of a removal request, I confirm that the organisations and/or persons referred to in the submission above have given permission for the removal.

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