Supporter Member Registration

Title

Full name (required)

Email address (required)

Street address (required)

Address line 2

Town / city (required)

County / region / state (required)

Postcode / Zip

Date of birth (DD/MM/YY) (required)

Twitter username (By giving us your Twitter username you are allowing us to contact you using Twitter)

Gender (required)

Declaration:
I apply to become a Member of the Co-operative College with immediate effect. I understand it is a duty of Members to use their powers, in good faith, to further the purpose of the Co-operative College Charitable Incorporated Organisation (CIO). As a Member I understand that I have rights specified in the Constitution, but that the day-to-day governance of the Co-operative College is in the hands of the Trustees. I understand that my name, address and contact details will be held on the Co‑operative College’s register of Members. I understand that the minimum initial membership period is 12 months and that from the end of that period I may cancel my membership with 30 days’ notice.

Please check the box to confirm you understand (required)

I understand

Declaration continued: I may resign at any time, but as long as I remain a Member I undertake to support the Co-operative College CIO by a donation/subscription of not less than my subscription cost. (required)

I understand

Today’s date (required)

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