The Network Project
REGISTRATION FORM
Please use this form to register with The Network Project.
This form provides options for information input and donations.

Name
Position
Organisation if any
House Number and Street
Village /District
Town /City
Borough /County /State
Postcode / Zip
Country
Phone (home)
Phone (work)
Mobile
Fax
Website
Email

 

Here are some details about my organisation or work which is relevant to the Network Project:


 

The Network Project is new organisation and we are currently seeking funding to support the ongoing work. We are a Charitable Trust and at the moment we do not have a set membership fee. If you are willing to support our work please send any donation you would like to give = £____

Please invoice my organisation as indicated above
I am sending a cheque to The Network Project, 12 Southcote Rd, London N19 5BJ
(NB you can return and print out this page to accompany your cheque after submitting this form).

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