Milestones – OA Foot Steps

Name *

First

Last

Full Name of the recipient who will receive a Milestone /Birthday or Newcomer Coin.

Are you a Resident of the United Kingdom (UK) or European Union (EU)? *

EU member states are: Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, and Sweden. The UK is made up of England, Scotland, Wales, and Northern Ireland.

Do you agree to the OA Foots Steps Data Privacy Policy? It is listed below. *

OA Foot Steps Data Privacy Policy: 1. Emails will be deleted from all email accounts handling information within one year of receipt. Documents attached that contain personal data and need to be retained will be saved in a secure Google Drive file and held securely by the Deputy Officer of the OA Foot Steps Intergroup. 2. Personal data will be securely held and deleted after one year. It will never be passed to third parties. 3. Any electronic device that manages personal data (e.g., access emails or WhatsApp groups) will be password protected. The right to withdraw consent to this policy may be exercised at any time. If you have any questions regarding this policy, please contact the OA Foot Steps Intergroup Deputy Officer at deputyofficer@oafootsteps.com.

Mailing Address *

City *

Province, Region, or State *

Country *

Postal or ZIP Code *

Email Address *

Milestone/Anniversary Requested: *

If you are celebrating multiples of years, please list the number of years of abstinence you will have below.

If you requested a chip for multiple years of abstinence, please indicate the number of years you are celebrating:

Additional Comments: