TSEN Membership Application

Name *

First

Last

Name of Business / Organisation *

Organisational Structure *CIC (Community Interest Company)Individual / Sole TraderUnincorporated AssociationLimited CompanyCharityCommunity Benefit SocietyCooperativeOther

Type of Business *

• Retail
• Arts and Culture
• Healthcare
• Wellbeing
• Sports
• Community
• Service (Legal, Financial, Marketing, Consulting, etc.)
• Technology
• Education
• Other

Activity / What we do *

Email *

Phone *

Website / URL *

Business Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Annual Turnover (Confidential) *Up to £10k£10k to £50k£50k to £100k£100k to £500k£500k to £1m£1m to £5m£5m +

Payment Details *

Card

Name on Card

Total

£ 0.00

Website

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