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Member Application and Renewal Form 2012

Membership is now FREE for all organisations and individuals though you may wish to consider making a donation to Urban Forum.  Full membership - with voting rights - is only open to not-for-profit organisations in England; other organisations (public and private sector organisations. academic bodies) and individuals can only be Associate members.

Please use this form to apply for membership or to renew your existing membership. We ask for quite detailed information as this helps us to help make connections, provide tailored services and better advocate on our members' behalf.

If you have any questions about this form or need any help with it, please get in touch.

Thanks.

required field = Required

MEMBER DETAILS
Organisation (if applicable)
Address required field
            
            
            Postcode
Telephone Number
Email Address
Website
Twitter
Blog
Facebook
Flickr
YouTube

CONTACT DETAILS (For organisations, the named contact)
Title Forename required field Surname required field
Position
Telephone Number
Email Address required field


Applying As required field

       Membership for Voluntary and Community Organisations is FREE.

There is a sliding scale of charges for all other organisations and individuals based on income as declared below:

under £25,000 - £10
£25,000 to under £100,000 - £25
£100,000 to under £250,000 - £45
£250,000 to under £500,000 - £100
£500,000 and above - £175.    


Please tell us briefly what your organisation does and what you are trying to achieve (max 100 words). We'll include this information on our Members' Map, to help others find out about your work.


Sharing Personal Information

We take every care to protect and safeguard all personal data and we never sell personal information.

However, we do try to help members and partners connect with each other so, if you are happy for us to share your contact details with people who are interested in your work, please confirm we have permission to do so.    

Urban Forum may pass on my personal contact details required field
Yes
No

GEOGRAPHICAL AREA OF WORK
What area does your organisation cover?  
Please specify

BENEFICIARIES
Tell us who benefits from the work you do.  

All people and groups

We specifically work with the following (tick all that apply):   

BME communities Disabled people
Faith communities LGBT people
Older people Women
Young people
Other

ACTIVITIES
Please tell us what your main activities are (tick all that apply).
Supporting volunteering Training and education
Community development and engagement A community voice/advocacy
Community facilities Support to other organisations
Information and advice to the public Environmental improvement
Providing any other service to the public
If you provide a service, what service do you provide?
Other main activities

ORGANISATION TYPE
Which of the following best describes your organisation? (not-for-profit groups only)  
If other, please specify

ORGANISATION SIZE
Please tell us how many people work at your organisation.
Full-Time Staff
Part-Time Staff
Volunteers (including management committee members)

INCOME
What is your annual income? (For public and private sector organisations and individuals, this figure will be used to calculate your membership fee – see the top of this form for the rates.) required field
Where do you get this income from - approximately? (Not-for-profit groups only.)
Grants % Trading including contracts %
Donations % Other sources %

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