HGN Membership Application Form
This form is for those wanting to join our network as:
1. Individuals
2. Individuals who are part of an organisation that has already joined the network
3. Individuals representing (and therefore the key contact of) an organisation seeking membership of the network
Email address *
Are you an...
Individual
Individual who is part of an organisation that is already a member
Individual (and key Contact) within an Organisation seeking membership
Please tick one
Name of Individual *
Your answer
Name of Organisation (if applicable)
Your answer
Phone Number
Your answer
Address
Your answer
Website Address (if applicable)
Your answer
If you are an Organisation, roughly how many people will be reached by our information?
Your answer
If you are an Organisation, have you sent HGN your logo to be used on our website?
What is your Organisation's core purpose/ vision/ marketing statement:
Your answer
What are your particular areas of interest in joining HGN? *
Your answer
Please confirm that you have read and agree with the details of the following, all to be found at: https://hgnetwork.org/network-links/ *
Required
Membership Fees are not compulsory but go some way to support the work we do within the county. Our recommended membership contributions can be found below. If you are able to pay on this occasion, please tick on the amount chosen. *
The easiest way to contribute is by BACS to: Herefordshire Green Network, Sort code: 30-91-91 (Lloyds Bank), Account number: 29138760. If you able to contribute, please let us know if this is the method you will be using: *
Required
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