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Associate Membership Form

Apply now for Associate Membership

Complete the form and submit

Your Organisation

Correspondence Address(Required)

Social Media and Web

Accreditations

For Town, Parish and Community Council applicants - has your council done the following?:
Further information available here: https://www.councils.coop/growing-the-co-op-economy/

Lead Contact

Name(Required)
Email(Required)

Your Leader/Mayor (if applcable)

Name
Email

Your Clerk or Chief Executive (if applicable)

Name
Email

Your Officer Network Representative (if applicable)

Name
Email

Your Comms/Marketing contact (if applicable)

Name
Email

Your Invoicing Contact

Name(Required)
Email(Required)

Monthly Newsletter - We’ll send our monthly eNewsletter to everyone already mentioned. Who else should receive our communications?

Click the ADD button to include more recipients
Title
First Name
Last Name
Job Title
Telephone Number
Email Address