BECOME A NETWORK MEMBER

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MEMBERSHIP REGISTRATION FORM

Title*:

First Name:

Surname*:

Email Address*:

You must provide a valid email address in order to be a network member

Contact Number*:

This will only be used if we are unable to contact you by email

Name of Group:

Date Group Established (if applicable):

Website:

If your group has a website, please provide the full web address

FAIR PROCESSING NOTICE

By submitting this Membership Form you agree to the information above being used as described in our Fair Processing Notice below.

I would also like to consent to receiving information and updates related to Leicestershire Communities.

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