Boost Initiative Expression of Interest Form

Please answer the following questions and return by using the send function at the bottom of the form.

Alternatively click here for a printable form and return it by post to: Boost Initiative, Community Foundation for Merseyside, c/o Alliance & Leicester, Bridle Road, Bootle, G1R 0AA.

You will need Adobe Acrobat to view the printable form. To download Acrobat please follow this link. This will open a new window.

	Name:
	Community Foundation:
	Job Title:
	Address:
	Telephone number:
	Email address:
	I would like more information about upcoming training dates:
	I would like more information about becoming an associate of Boost Initiative: