EmailMe Form - VAST Membership Form

Organisation Name *

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Email

Phone Number *

Contacts

Please tell us the main contact in your organisation. This is who we direct our information towards, it could be the Chief Executive, Marketing Manager, PA, etc.

Main Contact

First Last

Job title/Role

Address (If Different from above)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Other Contacts

Please list any contacts within your organisation

Newsletter Contact

First Last

Email

Development Service Delivery Contact

First Last

Email

Training Contact

First Last

Email

Other Contact

First Last

Email

Job title/Role of 'Other Contact'

Organisation Type

Please tell us more about your organisation.

Type of Organisation

Status of Organisation

What are the main areas in which your organisation works?
(Tick all that apply)

Who are the main beneficiaries of your organisations work?
(Tick all that apply)

What Services Do You Provide/Main Activities?
(Tick all that apply)

In what year was your organisation established?

Number of Trustees/Committee members

Number of Volunteers

Number of Full Time Staff

Number of Part Time Staff

Approx Number of people assisted last year

Approx annual income

Our Services

Which VAST services would you be interested in learning more about?

Membership Categories

The VAST Membership has three categories, each having there own benefits. For further information please download the Policy document at http://www.vast.org.uk/Membership.html

Categories - Please select *

ASSOCIATE Membership - FREE. Open to everyone.

FULL Membership - FEE BASED. Open to Not‐for‐Profit organisations, charities and Private Sector/Corporate

Please contact me about news and events *

Yes

No

VAST website Members only section

Please provide the following. These details will be used to access the members only section on the VAST website.

Email for VAST website login *

IMPORTANT - This email address will be used to login into the Members only section on our website.

Password for VAST website login *

IMPORTANT - This password will be used to login into the Members only section on our website.