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Workers Beer Company - Application form for Organisations

Please complete the following form fully

 

Organisation Name: *

 

Organisation Contact: *

 

Position within Organisation: *

 

Organisation Address: *

 

Postcode: *

 

Region : *

 

Organisation's Tel No.: *

 

Contact Person's Email Address: *

 

Confirm Email Address Above:

Organisation's Website Address:

How did you hear about the Workers Beer Company ?


How would you categorise your organisation? *

If other please specify:

 
 

Briefly what are the main aims of your organisation and to what use would you put funds raised? *

 

Please insert a contact email which can be taken up as a reference for your organisation from the wider labour movement (eg. An officer from a regional labour party / trade union branch secretary) *

 
   


Please note all fields marked with an asterix (*) are mandatory