Membership

First Name*:

Surname*:

If applying on behalf of an organisation
Organisation Name:


Organisation Legal Status:

Street Address*:


Post Code*:

Email Address*:

Telephone (optional):

Website (optional):

Facebook (optional):

Twitter (optional):

Membership options:
All costs are in GBP and are inclusive of any applicable VAT
Individuals - Low income - 10.00Individuals - Medium income - 25.00Individuals - High income - 50.00Organisations - First year after registration - 10.00Organisations - Turnover up to 90,000 - 50.00Organisations - Turnover up to 190,000 - 95.00Organisations - Turnover up to 500,000 - 195.00Organisations - Turnover over 500,000 - 250.00

What other contributions would you like to make?

What services would you like to use soon?

If you would like to know about other payment options, please call us on 028 90 736 075 or email us at info@coopalternatives.coop.