Potteries Hackspace - Join
By filling out this form and joining as a member of the 'Potteries Hackspace' organisation you are bound by our constitution and you must agree to our rules and regulations.

You are required by law to provide your real name and address to become a member. Your email address will be used to reach you with regards to your membership.

Your Details
Your Full Name *
eg: Joe Bloggs
Your answer
Your Email Address *
Your answer
Your Contact Number
eg: 07707770000
Your answer
Your Postal Address *
eg: 3 High Street, Hedge End, STOKE-ON-TRENT ST1 4NG
Your answer
Emergency Contact
In case of an emergency who should we contact on your behalf?
Contact Full Name
eg: John Smith
Your answer
Contact Number
eg: 07707770000
Your answer
Membership pledge
Potteries Hackspace is a membership organisation (SIC 94990) and as such is funded in most part by membership subscriptions.

We have a very simple policy for membership fees:

- Members pay what they like for membership on a monthly basis.
- If you are paying less than you are taking from the Hackspace you’ll be politely asked to increase your monthly payments.

A subscription of £15 per month is recommended.

Monthly Membership Fee
How much are you willing to pledge each month?
Your answer
Submit
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