Full membership application form

Please fill in the online form below and send by using the Submit button at the end of the form.

Name of your organisation

Please confirm that your governing documents prescribe that:
a majority of your voting members shall be disabled people
a majority of your executive committee shall be disabled people

Your Constitution or Terms of reference

Please send us a copy of your Constitution or Terms of reference

Your Contact Details

Your Name:
Your Address:
Your Postcode:
Your Email address:
Your telephone number:
Your Minicom number:
Your preferred method of contact:

Your group will have a right to vote at our AGM. Please provide the details of your voting member, if different from the above:

Voting member Contact Details

Your Name:
Your Address:
Your Postcode:
Your Email address:
Your telephone number:
Your preferred method of contact:

How would you like to recieve our newsletters?

Email Word document (text only)
Email PDF document (with pictures)
Postal
Audio CD
Audio mp3
Audio cassette

Please tell us some more about your group

What are the aims of your group?

What does your group do? E.g. provide support, work towards better access, provide information etc

other information about your group

How often do you meet?

Total Number of committee members?
How many of these are disabled?

How are you funded and how much do you receive?

Norfolk Coalition of Disabled People (NCODP)

Full membership application form