Member Application Form

Membership application

Apply for membership by completing this form. Please fill in your business details so that we can upload to our wellness business directory.
Community member - monthly set hireCommunity member - ad hoc room hire (ad hoc at £13.00p/hr)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry
E-mail*
example@example.com
Phone Number*
Format: (00000) 000 000.
Website
Facebook page
Instagram
Twitter
LinkedIn
Logo or image (you must have full rights to the image that you provide us)

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Business bio
By signing you state that you have read and agree to the membership terms and conditions

Clear
Signature Date*

DayMonthYear
Date
Please upload a copy of your insurance. All room hirers must have their own business insurance

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Training gymStudioTherapy roomUpstairs meeting/therapy room
Please specify day/times of required weekly classes or block bookings so that we can review availability
Room hire agreement
By signing you state that you agree to the room hire agreement*

Clear
Signature Date*

DayMonthYear
By signing you are acknowledging that you have read and agree to the Room hire agreement
Should be Empty:

Membership application