Business Membership Application

Business Name *
Type of Business
Contact Name *
Email *
Telephone *
Mobile
Address
Postcode
Turnover
 Up to £100k (£50+vat, total of £60 per annum)
 £101k - £250k (£100+vat, total of £120 per annum)
 £251k - £500k (£150+vat, total of £180 per annum)
 £501k - £1m (£250+vat, total of £300 per annum)
 Over £1m Please contact us to discuss your fee
How did you hear about our work?
I am interested in learning about environmental training/advice for my business
Filling out this form entitles you to FREE membership of the Buy Recycled Code giving you access to reduced priced recycled products.If you do not wish to become a member of the Code please tick this box.
I would like to sponsor a conservation or local environmental project. Please let me have information on projects I can support

As a member of the Nurture Lakeland you will receive regular information and updates on our work and any projects you choose to support. Would you like this contact to be by:
Email
Post
* I have read and agree to abide by the conditions of Nurture Lakeland's Code of Practice.



MasterCard CreditDebit MasterCardJCBMaestroSoloVisa CreditVisa DebitVisa Electron   Powered by RBS WorldPay