Fitzrovia Youth in Action
Form to be used by FYA staff when adding stakeholders to the Mailchimp database
*
indicates required
Name:
Email:
Comment:
First Name
*
Last Name
*
Email Address
*
Phone number
Company / organisation name
Job role / position
attending
Connection to FYA
Corporates
Funders
Camden Council
Camden Councillors
Youth Organisations
Other