Voice4Change England Collaborative Membership Programme

Welcome to the Voice4Change England Collaborative Membership Programme. We are really pleased you have chosen to join us and would like to thank you for taking the time to fill out this form.

Once we have your information you can expect a welcome letter on your desk in up to 28 days.

Voice4Change England is offering you a fantastic one-time opportunity to join its partner organisations and get a 20% discount of their membership fee.

I would like to become a member of NCVO

Yes No

I would like to become a member of Community Matters

Yes No

ELIGIBILITY

We are a voluntary or community organisation

Yes No

We are based in England

Yes No

ORGANISATIONAL DETAILS

Name of Organization *

Street Address *

Additional Address 1

Additional Address 2

City *

Post Code *

Region *

Web Address

Phone *

Email *

Name of Chief Executive/Director/Coordinator *

KEY CONTACT DETAILS

Name of first contact *

Job Title *

Phone *

Email *

Name of second contact (optional)

(Details of second contact are optional)

Job Title

Phone

ABOUT YOUR ORGANISATION

Are the majority of members on your governing board from BME communities in England?

Yes No

Voice4Change England defines ‘BME’ as individuals or communities belonging to categories other than ‘White British’ as defined by the 2001 National Census.

Workforce

Number of staff

Number of volunteers

Members

Is your group a membership organisation? *

Yes No

If yes, how many members do you have?

How many contacts do you have on your database?

Geographical Area Served

Geographical Area Served *

National Regional Local Neighbourhood

Regional

Local

Neighbourhood

CLASSIFICATION

Benefit Groups *

Interests *

Activities *

DATA PROTECTION

Your details will not be passed on to any third party without your prior consent.

We would like to stay in touch with you through post, email and over the phone to keep you informed about services and support available through our membership programme.
See the ‘communications’ section of our FAQ for more details on how we will stay in touch

We would also like to keep you informed about products and services offered by our partner organisations to help you choose the service that best meets your need.

If you do not want to receive this information, please tick the box below.

To opt out please tick here

Tell us your preferred mode of contact

Phone
Email
Postal Mail

If Other Website, please specify

DECLARATION and SIGNATURE

I have read the Voice4Change England Collaborative Membership Programme criteria and understand its terms and conditions.

Name *

Date *

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