Name of club/organisation
Landline Phone Number
Mobile Phone Number
Organisation Email Address
Your Contact Details
Your Daytime Telephone No (if different from above)
Your Evening Telephone No (Preferably a Landline)
Mobile Phone No
Your Position in the Organisation
About Your Organisation
What Type of Organisation Are You?
If You’re a Registered Charity, Registration Number
Are You and Independent Branch Or a Branch of a Larger Organisation or Group of Organisations?
Name and Charity Number if Yes
In What Year Was Your Organisation Formed?
Describe The Purpose and Activities of Your Organisation
Does Your Organisation Have Any Paid Staff?
How Many Volunteers Does Your Organisation Have?
Your Organisation Finances
How is Your Organisation Currently Funded? (Annual Subscription, Match by Match, Donations etc.)
By clicking on the submit button I agree that I have filled in the form as accurate as possible to the best of my Knowledge.
I understand that the data may be shared with other necessary organisation but will not be sold or used in any way that does not relate to this request.
123 Fifth Avenue, NY 10160, New York, USA | Phone: 800-123-456 | Email: firstname.lastname@example.org