Midtown Makers Application Form

Midtown Makers Membership

Application Form
Name:*

First NameLast Name
Phone Number*
Email Address*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Eligibility Checklist*

I live in Northern IrelandI am over 18 years oldI make my own creative productsI have product and public liability insuranceIs your product in a priority sector?
Priority Sectors:*
Trading Name*
Describe your Creative Product*

0/100
Why do you want join Midtown Makers*

0/100
Upload 3 Product Images*

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Upload Photographic ID:*

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Upload Proof of Address*

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Other relevant information that may help us consider your application:

0/100
I declare that all infomation provided in this application is correct and will be used by Ballymena Business Centre to assess my application to join Midtown Makers.

I have read the Membership Terms and Conditions prior to submitting this Application Form.

I understand my personal and business data provided will be held by Ballymena Business Centre as provided for under Data Protection Legislation.

Ballymena Business Centre is an Equal Opportunties organsiation and promotes equality of opportuntiy for all respecting the principles laid down by Section 75.
E-Signature*

Clear
Submission Date*

DayMonthYear
Date
A copy of the terms and conditions can be viewed on our website www.midtownmakers.co.uk
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Midtown Makers Membership