Your Name (required)

    Your Email (required)

    Your Business Name

    Your Business Address

    Your Mobile Telephone Number (required)

    Your Work Telephone Number

    Business Category you are applying for

    Describe your products or services

    Sponsor name

    Give us an understanding of your experience in your field, your background, your qualifications

    How long have you been in this profession?: Yrs

    Is your occupation full or part time?:

    Please provide details of 2 business references. These should be people who have experience of your work. Please provide full contact details and position for each, along with a summary of how they know you.

    Please explain how you will contribute to the group

    Please list any other business networking organisations you are a member of

    In submitting this application form, you hereby agree to our terms and conditions of membership. You also understand that membership is not automatic, and the answers and references you provide will be considered in order to assess whether we believe your joining our group will have a positive impact on the group as a whole. In the event that more than one person applies for your category at the same time, the membership committee will make a decision as to which will be given membership, and the decision will be at their sole discretion. You confirm that you have completed this form truthfully to the best of your knowledge. Please tick this box to confirm you have understood and agree to these conditions of application: