Registration Form Register with Hambleton Community Action By registering with Hambleton Community Action, groups and individuals can access our wide range of advice and support services. *Required Information *Name Position in Organisation (if applicable) Organisation Name (if applicable) *Address *Postcode *Telephone *Email About Your Organisation (if applicable) What Your Organisation Does Please provide a brief description about the activities of your organisation and provide five key words that reflect your work and services Number of Staff (if applicable) Number of Volunteers (if applicable) Facebook Twitter Website Type of Organisation please tick all that apply We are just starting up and have not decided yetA Voluntary or Community Group led by a volunteer (unpaid) boardA Registered Charity (please provide number below)A Community Interest Company (CIC)A Charitable Incorporated Organisation (CIO)A Company Limited by Guarantee (please include number below)A Company with Shares (please include number below)Other (please describe) Charity Number (if applicable) Company Number (if applicable) Area Covered Age Range of Customers/Members *Membership of Hambleton Community Action -please click one box Membership of Hambleton Community Action is free and open to all voluntary and community groups, other organisations and individuals. Members can vote at our AGM, play an active part in the decision-making of our organisation and take advantage of discounted services e.g. training. Associate membership is also available to individuals and colleagues in public and private sector organisations who wish to show their support of Hambleton Community Action. Associate members do not have voting rights. I/we wish to become a member of Hambleton Community Action and confirm that I/we support the purpose and values of the organisation.I/we wish to become an associate member of Hambleton Community Action.I/we do not wish to become a member. Data Protection I/we would like to be included on Hambleton Community Action's mailing list and email updates to receive relevant voluntary sector and community information, for example funding information, local events and training. We agree our organisations details can be added to an on-line directory of voluntary and community organisations. By returning this form you are agreeing that this information can be retained by Hambleton Community Action. *Name Date* Δ
