Membership Application Form

Please complete our membership form below or contact us to commence your membership application. Once we’ve received your details, one of our membership advisors will get in touch to process your application.

Your Name (required)

Position (required)

Company name (required)

Address (required)

Company registration number (required)


Telephone No. (required)

Trade address (if different from above)

Mobile No.

Fax No.

Your Email (required)

Website address

Year established (required)

Importer/exporter (please tick)

 Importer Exporter

Nature of business

Trade name (if different from company name)

Name of parent company

Trade status (please tick)

 Sole trader Partnership Limited company Other

Number of employees

Part time

Full time

Annual turnover (please tick one)

 £0 - £25,000 £25,001 - £50,000 £50,000 - £100,00 £100,001 - £250,000 £250,001 - £500,000 £500,001 - £1m £1,000,001 - £5m Over £5m

Member to member offer/discount

I wish to offer % discount from the following products/service(s):

Additional memberships

Please can you provide us with the following:
 First Ladies Network International Trade Network Patron Membership

Social media links

Please can you provide us with the following:
Twitter address

Linkedin profile

Facebook page

It has been explained to me/us, and 1/We understand that should 1/We wish to terminate membership 1/We shall serve the required three months notice, in writing, prior to my/our next subscription falling due.

I am willing to receive Chamber communication via:

 Post Fax Email

 I accept the terms and conditions of application