Application Form

MEMBERS DIRECTORY FORM 

(please fill in below and return to john@caracommunity.co.uk) 

COMPANY NAME

CONTACT NAME

ADDRESS

EMAIL

TEL OFFICE                                     MOBILE                          WEBSITE

COMPANY INFORMATION (PLEASE TICK)

1) LEGAL COMPANY STATUS (please tick)
a) PRE-START          b) SOCIAL ENTERPRISE          c) CHARITY

d) UNINCORPORATED                e) COMPANY  LTD  BY  SHARES

f) COMPANY LTD BY GUARANTEE                         g) CO-OP

h) COMMUNITY INTEREST COMPANY                   i)  SUPPORTER

2) WHERE ARE YOU LOCATED & AREAS YOU OPERATE IN?

 

3) WHAT DO YOU OFFER?

 

 

4) WHAT PARTNERSHIP OPPORTUNITIES WOULD YOU BE INTERESTED IN?

 

 

5) WHAT DO YOU CONSIDER THE 3 MAIN ISSUES YOU FACE

a)

 

b)

 

C)

 

 

6) WHAT 3 MAIN BUSINESS AREAS DO YOU REQUIRE HELP?

 

 

7) HOW MANY PEOPLE DO YOU CURRENTLY EMPLOY?

USE OF INFORMATION PROVIDE BY YOU . All information will be used to provide you with advice and assistance in accordance with the Data Protection Act 1998. We would like to use this information to notify you by e-mail, post /fax or telephone about  services, events or seminars news and services by ourselves or a third party.If you would prefer us  not to use your information in this manner please tick here.   …….

Please email to john@caracommunity.co.uk