Participant Application Form

Local Business Networking

Membership Application

Individual membership. Whilst we are meeting online, there is no charge for membership.

Name

Email address

Street address

Street address line 2

City

Post Code

Phone number

Notes about individual membership privileges:
Your membership covers:- Venue hire, Breakfast, All fees for joining and continuing membership within LBN

Business membership.

Business/Organization name

Website

Primary contact name

Primary contact email

Position

Street address

Street address line 2

City

Post Code

Phone number (Work)

Phone number (Mobile)

Please tell us more about your business

Category Applied for

Specific Product or Service

Qualifications

Name

How did you hear about us?

Notes about group membership privileges:
For every new, member you introduce, who joins LBN and pays a monthly membership fee, you will receive a £10 credit, each month (inc VAT) against your membership fee. This will be credited for as long as you remain a continuous member of LBN

Duration of membership

From date of membership approval on a rolling monthly basis. Memberships will continue each month on payment of continuous Direct Debit Payment.

Payment by Direct Debit, only when meetings commence at our venue.