Box Divvy

Directory Request Form

Name *

Email *

What is your request? *
Add a new entry to the directoryChange an entry in the directoryRemove an entry from the directory

Is the entry for an individual or an organisation? *
IndividualOrganisation

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?

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 news and notices from SIRA.

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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Box Divvy » Directory

Biographical Info