Kent Wildlife Trust - Corporate Member/Partner Application & Due Diligence Form

Kent Wildlife Trust - Corporate Member/Partner Application & Due Diligence Form
To apply for Community & Corporate Members & Partnerships, please complete our form on the next pages to the best of your knowledge. As it includes our organisational due diligence checks, bear in mind this application form will take about 10 minutes to complete. If you have any queries, please get in touch with our Corporate Team at corporate@kentwildlife.org.uk

For more information on how your data is handled by Kent Wildlife Trust, please our online Privacy Policy

Membership/Partnership Details
Which Wilder Business Membership tier are you interested in?

Once the application is submitted, our Corporate team will be in touch to discuss payment.
Membership/Partnership tier*

Small Business Member £600 plus VATBronze Member £1,200 plus VATSilver Member £3,000 plus VATGold Member £5,000 plus VATPlatinum Member £10,000 plus VAT
Would you like to join as an eco member/partner? (This reduces waste and means more of your donation goes towards our important work by sending all materials to you digitally rather than in the post).*

YesNo

Comms & Brand Guidelines
Please include a summary of your organisation (to be used on our corporate partnerships webpage)*
Alternatively, please upload a document with your organisation summary here

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Website address, if applicable (to be used as link-throughs on KWT webpages and posts)
If your organisation has any social media handles they'd like us to use, please specify here
If your organisation has a logo they'd like us to use, please upload it here

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If your organisation has any brand guidelines that you'd like us to use via digital/printed media, please specify them or attach them below.
Alternatively, if your organisation has any brand guideline documents you'd like us to use please upload it here

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Contact Preferences

From time to time we may need to contact you via phone/email/post about your membership, outside of this, how would you like to be contacted about Kent Wildlife Trust and its work?

Contact preferences*

	Yes	No
Mail (this includes our posted 'Wilder Kent' magazine)
Email
Phone

Due Diligence Self-Declaration

Please fill out the following due diligence questions as fully as possible to allow us to review your application
U.K registered number*
U.K Parent Company (if applicable)
Name of company
Registered company address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the nature of the business?
How many U.K subsidiaries does the company have?
Global Parent Company (if applicable)
Name of company
In which country is the company registered?
What is the nature of the business?
How many global subsidiaries does the company have?
Financial Risk Assessment

Please provide the following financial information for our due diligence checks

	Turnover (£K)	Profit (Loss) (£K)	Total Liabilities (£K)	Are there any forecast changes to the financial security of the company in the next 12 months that could affect your partnership?
Corporate Partner
U.K Parent

Please sign below:

I, {name}, {position} am authorised to make this verification on behalf of (company name). The facts set forth in this document are true and correct to the best of my knowledge, information and belief.
Signature*

Clear
Date of declaration*

DayMonthYear
Date
Should be Empty:

	U.K Parent Company	Global Parent Company (if applicable)
Fracking
New fossil fuel development
Badger culling
Use of neonicotinoids
Biofuel production
Deforestation
Serious pollution incidents and other breaches of environmental law
Animal cruelty/Animal testing
Cluster bomb and landmine manufacturers
Armaments and firearms
Forced labour
Child labour
Support for oppressive regimes
Support for terrorism, extremism or extreme political parties
Supports or takes part in any form of discimination against individuals based on their ethnicity, gender, sex, religion or belief, disability, sexual orientation, age or any other protected characteristic or identity
Bribery and corruption
Misleading advertising/Market manipulation
Pornography
Gambling
Alcohol
Tobacco
None of the above

About your organisation