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Registration Form

Please fill out the form to register as a member. By completing this form you are accepting our Terms and Conditions and agree to be bound by them. Membership is an annual agreement and the business will be liable for a full year's fees even if paying by monthly direct debit.

Privacy
Please enter your company and personal details below. (These details will be included in our online directory). By opting out your address and telephone number will be hidden from your listing.
- Please tick this box if you wish to opt out.
Company Details
Company Name*
Contact Name*
Position*
Address Line 1*
Address Line 2
Town*
County*
Postcode*
Phone*
Email Address*
This will email address will be used as your username. Your password will be sent to this address once your account has been activated.
Email for publication (if different from above)
Website
Please include http:// or copy and paste the address directly from your browser
Direct Phone*
Mobile
Are Billing Details Different from above?
- Yes
- no
Billing Details:
Business Directory Details
Business Category*
Short Description
Add a short description for listings pages.
Business Description
You can fill this out at a later date, or edit it later.
Introduced By / Promotional Code
Annual Membership Level*
Select the rate according to the number of full time employees in your business. For organisations with part time employees, 2 part time = 1 full time
Payment of fees*
Would you then like to pay the annual membership;
- In full (Payment on invoice)
- In monthly installments (via GoCardless DD)
A one off joining fee payment of £25.00 + VAT must be made at the time of your application to complete your membership application. Once you select the submit button you will be directed to make an online payment via PayPal
Comments
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Join Online Today

Registration Form

Company Details

Business Directory Details