Organisation Membership Registration Form

Any organisation with an interest in Health and Social Care can join the LINk. Please complete the information below to become a member. To download a copy of this form, please click here.
Organisation Name*
Address*
Postcode*
Organisation Telephone
Organisation Email
Contact Name*
Postion in Organisation*
Contact Telephone*
Contact Mobile
Contact Email*
How would you like to hear from us? (Please tick all that apply)*	Post Telephone Email
How did you hear about the LINk?
Each organisational member of the LINk is eligable to vote in one constituency when electing LINk Committee members. Please select the constituency below that most closely matches your main area of activity.
The constituency we would like to fall into is:*
Please give a brief description of your organisation's activities and locations
Additional details
Do you have any specific needs or require a particular method of communication?
By clicking submit, below, you are agreeing to comply with the rules and code of conduct of the LINk (available here). You are also agreeing to comply with the terms and conditions of use.