NLCCE Charity Membership Application Form

NLCCE Charity Membership Application

To apply for membership please complete all sections.
ELIGIBILITY CRITERIA

Registered with the Charity Commission
Name of Charity*
Charity Registration No:*
Your Name*

PrefixFirst NameLast Name
Job Title*
Charity Address*
Email*
Mobile Number*

Area CodePhone Number
Work Number

Area CodePhone Number
Website*
Reasons for Joining NLCCE. Please tick all relevant boxes

NetworkingBusiness ConnectionsInformationDigital Advice & Support (free for London based businesses)Representation
NLCCE Charity Membership Subscription

£110 per year, payable by Direct Debit
Membership*

I would like to join NLCCE for 12 months
The details you have provided on this form will be added to the NLCCE database. We respect the privacy of all our service users – for full details please see our Privacy Policy, which states how we collect, store and secure data – it can be viewed on our website https://nlcce.co.uk/files/2014/05/NLCCE-Privacy-Policy.pdf

By signing below, you confirm that the details you have provided are correct and agree to NLCCE adding your details to its database.
I would like to receive emails/digital newsletters about news and events.*

Yes
Signature*

Clear
Signature date*
Please verify that you are human*
Should be Empty: