Associate Membership Application Form

1. PROPOSED ASSOCIATE MEMBER STATUS
I am applying as: *
2. PROPOSED MEMBER DETAILS
3. INFORMATION FOR ONLINE MEMBER DIRECTORY
Optional - we recommend joining our online member directory so people can find out more about you and your work, but if you do not wish to be included please leave this section blank.
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Please use this space to tell us about your organisation. We will use this text when listing your organisation on our website. (approx. 100 – 200 words).
Please provide us with an image for your organisation and your logo (ideally around 1MB in size). Either send one to hello@creategloucestershire.co.uk or include a URL below for us to download.
Image Permission *
Area of Work
You can select more than one.
Where do you operate?
You can select more than one option.
4. DECLARATION
By submitting this form I hereby: *

i) agree to become an associate member of Create Gloucestershire Limited (the "Company");
ii) agree to abide by the Company's rules and bye laws;
iii) confirm that my name can be entered into the register of associate members of the company.

* boxes marked with an asterisk must be checked before submitting

FURTHER INFORMATION

a. Please note that the Company reserves the right to (but shall be under no obligation to do so) request further information or evidence of information before considering your application.

b. You will be informed of the outcome of your application, however, the Company shall be under no obligation whatsoever to provide reasons.

c. The Company has the authority to apply an associate membership fee.  However, it is not anticipated that new associate members would pay a fee for the first 12 months of their membership.

PLEASE NOTE: If you do become an associate member you can be removed from associate membership if you do not comply with the Company's articles of association, a copy of which is available on request.

Thank you for your application for associate membership of Create Gloucestershire. Associate member applications are approved at quarterly board meetings. If you need to get in touch with a member of the team about your application please email membership@creategloucestershire.co.uk

In the mean time please make sure you follow Create Gloucestershire on twitter (@createglos) and facebook (www.facebook.com/creategloucestershire) and are signed up for our newsletters.