Registration

You can use this page to register for Lancashire County Online for the Public Health Campaign Service. Please fill in the form below to create your own account. The service will process your application and send you an email when this has been completed.

Sign In Details

Create a Username

Your username must be at least six characters long and can contain numbers, letter and some characters (@<>.).
You username is not case sensitive (i.e. SMITH is the same as smith)
You can use your email address as your username.

Email address

Retype Email address

A working email address is required to complete registration. Examples: myname@aol.com or myname@yahoo.com
To ensure the accuracy please type your email address twice.

Password

Confirm Password

Password strength:

Not rated

Your new password must contain both letters and numbers and be at least six characters long.
Make sure that you always enter your password using the same upper and lower case combination. For example, if your password is Smith123, the system will not recognise SMITH123.

Your name

Title

Forename(s) *

Surname / Family Name *

Job title / Your role *

Organisation *

Your work details

Address *

Address 2

Address 3

Address 4

Town*

Postcode *

Work Telephone *

Mobile Telephone

Occupation Type

Occupation Type *

Other *

Organisation Type

Organisation Type *

Other *

The Public Health Campaigns Service will have a programme of Public Health campaigns which we will ask registered customers to help us to promote. This means we will occasionally send you materials and information regarding these campaigns via post and email.
If you DO NOT wish to receive these, please tick this box.

Please tick to say that you have read and agree to the terms and conditions of use