Apply for membership of the Coalition

Name of organisation *

Building *
number or name

Street *

City *

County *

UK postcode *

Switchboard number *

Fax number *

Main email address *

Website address *

Organisation's principal activity *

Type of Organisation *
Please tick all that apply

Company Ltd by Guarantee
Comapny Ltd by shares
CIC Ltd by Guarantee
CIC Ltd by Shares
Industrial & Provident Society
Ltd Liability Partnership
Charity
Other (Please specify)

Name of contact *
chief executive or equivalent

Position

Direct telephone

Direct email

Direct fax

Name of invoice recipient *

Position

Direct telephone

Direct email

Direct fax

Annual turnover *
Please give figures from your most recent accounts. Your membership fee will be based on this turnover. We will invoice you for the correct amount once your application has been received.

For financial year *

Number of employees

Geographical areas covered by your operations *

Number of members
Please answer if you are a network or membership organisation

Types of organisations in membership
Please answer if you are a network or membership organisation

How many of your members do you consider to be social enterprises?
Please answer if you are a network or membership organisation

If your members/some of your members are social enterprises, how do you assess this?
Please answer if you are a network or membership organisation

Where did you hear about the Social Enterprise Coalition?

Coalition newsletters/publications
Other media articles
Coalition events
Other event
Coalition website
Other
Regional social enterprise network
Word of mouth

If 'other' please tell us where in the space provided

* Denotes required field.

	Membership fees
	Turnover £	Fee £
	<99,999	100
	100,000 to 499,999	175
	500,000 to 999,999	350
	1,000,000 to 4,999,999	850
	5,000,000 to 9,999,999	1,725
	10,000,000 to 49,999,999	2,875
	>50,000,000	4,750

Application for Social Enterprise Coalition membership

Join the Coalition