My Home sign up form | Islington and Shoreditch Housing Association (ISHA)

Occupancy reference *

First name *

Last name *

Email address *

Contact phone number *

Date of birth *

Consent for storing submitted data *

Yes, I give permission to ISHA to store and process my data.

Consent to set up your My Home account *

Yes, I give permission to ISHA to use my details to set up a My Home account for me.

Entry into prize draw

I would like to be entered into a prize draw for the chance to win £250 for the first 50 sign-ups to My Home.

reCAPTCHA *