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Form new member2018-10-18T12:26:04+00:00

New member form

Membership Form

Section 1 - Choosing your membership package


Section 2 - Your details











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Section 3

Please note that applicants to the Plunkett Community Co-operative Network (PCCN) should either be an established community co-operative, or a community group planning to incorporate as one within the next three months. If you are applying to be a PCCN member, please indicate which legal structure you have in place and your legal structure registration number, if you have one. If you are applying to be a supporter member, please tick the last box.



If you have applied to be a member of the Plunkett Community Co-operative Network, please note that your details will be shared with our membership suppliers to allow you to access the financial benefits package. Your details will not be given to any third party organisations.

Section 4

Please sign and date this form. Once approved, you will receive confirmation of your membership along with your welcome pack. We will also contact you for payment details. Membership is effective for 12 months from the month of joining.