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Member Application/Renewal Form
Contact Details:required field = Required
Title: required field
Firstname: required field
Surname: required field
Email: required field
Please renter you email: required field
Organisation:
Address Line1: required field
Address Line2:
Region:
Town:
County:
Postcode: required field
Telephone:
Where did you hear about Urban Forum?: required field

Telling us about your interests and area of work will help us to provide services that are tailored to your needs. Please indicate your main areas of interest - you may tick
as many as are appropriate.
Age  

Gender
Black and Minority Ethnic   Health
Disability   Housing
Education/Employment   Transport
Environmental   Youth
Faith      

Membership Rates

The rates for membership are on a sliding scale based on the size of your
organisation. Please indicate your expenditure in the current year, or the most recent year for which you have records.

Under £25,000                                       £10
Over £25,000 and under £100,000        £25
Over £100,000 and under £250,000      £45
Over £250,000 and under £500,000      £100
Over £500,000                                       £175

Please select a rate required field
£10
£25
£45
£100
£175
An invoice for your membership will be issued to you in the next few days.

Type of Membership required field
Full Member (community or voluntary organisation)
Associate Member (public sector/private sector/academic institution or individual)

Type of Organisation required field
Local voluntary/community organisation
Local authority/local public sector
Government body/other public sector
National/regional voluntary organisation
Academic institution
Private sector organisation
Individual
  

Sharing Information

We take every care to protect and safeguard all personal data, including email addresses, from abuse. Urban Forum never sells contact details to other organisations and we do not pass on contact details unless your consent has been sought and approved.

In order to enable networking Urban Forum may, from time to time, be asked to provide the contact details of individuals to interested parties. Please indicate whether you wish your contact details to be passed on.

 

Urban Forum may pass on my contact details
Yes
No
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