Membership Application

Entrepreneur membership application application

Membership Criteria:

I am, or have been the owner or co-owner of a North East based business with a turnover of at least £250,000.

Personal Details:

Title:

Mrs

Miss

Prof

Sir

Name: *

Mobile Number: *

Landline Number:

Email: *

Company Position (e.g. Director, CEO):

Date of Birth: *

Ethnicity:

Do you have any dietary requirements/allergies?: *

Do you have any accessibility requirements?: *

Yes

Business Details:

Company Name: *

Started Trading:

Postcode: *

Address Line 1: *

Address Line 2:

Town / City: *

Website:

Twitter:

What does your company do: *

Your Company:

	2023	2024	2025
Turnover (£): *
Full time employees: *
Part time employees: *
Freelance employees: *

Is your company family owned?

Yes

Do you trade internationally?

Yes

If yes, enter which countries you trade with:

Where did you hear about Entrepreneurs' Forum? :

Payment options:

Set up a monthly direct debit OR receive an invoice:

Set up a direct debit

Send me an invoice

By submitting this application you agree to abide by the Terms and Conditions of membership of the Entrepreneurs' Forum and to having your name and company details included on our membership lists and website. For further information about how your information will be used and stored, how we maintain the security of your information and your right to access the information we hold about you, please review our Privacy Policy. I agree to the Terms and Conditions and acknowledge the Privacy Policy above and understand that if my membership is approved, The Entrepreneurs’ Forum will begin to collect my membership fee by direct debit each month.

I accept the Terms and Conditions and agree to the Privacy Policy

Membership Application

Entrepreneur membership application application

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