Application form

 

 

Contact Name:
Telephone Number:
Company Name:
Email Address:
Address 1:
Website:
Address 2:
Number of Employees
Postcode:
   
 Level of Membership:
Please detail any member to member benefits you would like to offer (optional)
Small Independent
1 - 4 employees
£30
Large Independent
5 -10 employees
£60
Multiple
11+
£120
I am interested in becoming actively involved and wish to join one of the working subgroups:  
Membership Marketing Events
I am interested in becoming one of the six key funding partners on the board for the additional minimum contribution of £1,000 per year.
If you would like an order number including please specify


 



KTCA - Keighley Town Centre Association © 2009