Associate Membership Form

Associate Membership Application Process

PDF

Apply now

"*" indicates required fields

Your Organisation

Council Name/Political Group/other Elected Authority*

Total Annual Budget (capital & revenue)*

Population - Parish, Town and Community Councils only

Correspondence Address*

Street Address City County Post Code

Facebook

Twitter

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/

Signed the Councils for Fair Tax Declaration

Become Living Wage Accredited

Signed the Modern Slavery Charter

Lead Contact

Title*

First Name*

Last Name*

Job Title*

Contact Telephone Number*

Email address*

Enter Email Confirm Email

Your Leader/Mayor (if applicable)

Please check the box below to enter details for your leader/mayor

Enter details

Title*

First Name*

Last Name*

Job Title*

Contact Telephone Number*

Email address*

Enter Email Confirm Email

Twitter

Your Clerk/Chief Executive (if applicable)

Please check the box below to enter details for your clerk/chief executive

Enter details

Title

First Name

Last Name

Job Title

Contact Telephone Number

Email address

Enter Email Confirm Email

Twitter

Your Officer Network representative (if applicable)

Please check the box below to enter details for your officer network representative

Enter details

Title*

First Name*

Last Name*

Job Title*

Contact Telephone Number*

Email address*

Enter Email Confirm Email

Your Comms/Marketing contact (if applicable)

Please check the box below to enter details for your comms/marketing contact

Enter details

Title*

First Name*

Last Name*

Job Title*

Contact Telephone Number*

Email address*

Enter Email Confirm Email

Your Invoicing contact

Title*

First Name*

Last Name*

Job Title*

Contact Telephone Number*

Email address*

Enter Email Confirm Email

Our Monthly eNewsletter

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

Add Recipents

Click the plus button to add further recipients*

Title

First Name

Last Name

Job Title

Telephone Number

Email Address

Associate Membership Form

Associate Membership Application Process

Apply now

Your Organisation

Lead Contact

Your Leader/Mayor (if applicable)

Your Clerk/Chief Executive (if applicable)

Your Officer Network representative (if applicable)

Your Comms/Marketing contact (if applicable)

Your Invoicing contact

Our Monthly eNewsletter

Membership

For assistance…