1. Organisation Details

Organisation Name (required)

Organisation Established (required)

Organisation Address (required)

Consent to contact via post.

Primary Contact's Role (required)

Primary Contact's Name (required)

Your Email (required)

Consent to contact via email.
Consent to contact via automated email (e.g for our newsletters).

Your Telephone Number (required)

Consent to contact via phone.

Twitter Name

Facebook Name

Website address (this should link to the page you want to send people to)

Accounts' Contact Details

THIS INFORMATION WILL NOT BE PUBLICLY VISIBLE

Accounts' Contact Name (required)

Accounts' Contact Address (put ditto if as above)

Accounts' Email (required)

Accounts Telephone Number (required)

2. Legal Structure

Please select one (required)

Not yet formedCharitable CompanyLimited Interest CompanyCommunity Interest CompanyLimited Liability PartnershipCommunity Incorporated Organisation (Foundation model)Community Benefit Society and Co-operative SocietyCommunity Incorporated Organisation (Association model)Company Limited by GuaranteeRegistered CharityOther (please state below)

3. Membership Type

Please select one (required)

Start UpFull Member

4. Organisational aims / mission sentence

(a couple of sentences only please)

Mission Statement / Aims

5. Geographical Area

Our areas are divided as indicated below. If you wish to be listed under a different area, please indicate.

Select Area
NATIONAL (remit)SOUTH WEST (Avon, Cornwall, Devon, Dorset, Gloucestershire, Somerset, Wiltshire)NORTH WEST (Cheshire, Cumbria, Lancashire, Greater Manchester, Merseyside, West Yorkshire)MIDLANDS (Derbyshire, Hereford and Worcester, Lincolnshire, Leicestershire, Northamptonshire,Nottinghamshire, Shropshire, Staffordshire, Warwickshire)NORTH EAST (Cleveland, Co. Durham, Humberside, Northumberland, North Yorkshire, South Yorkshire, Tyne and Wear)SOUTH EAST (Bedfordshire, Berkshire, Buckinghamshire, Hampshire, Hertfordshire, Isle of Wight, Kent, Greater London, Oxfordshire, Surrey, East Sussex, West Sussex)EAST ANGLIA (Cambridgeshire, Essex, Norfolk, Suffolk)SCOTLANDWALESNORTHERN IRELAND

6. How did you hear about us?

Web searchAHFHLFLocal Council / Conservation Officer Word of MouthHTN meeting / memberOther - please specify

6. Declarations

Please read and confirm you have understood and / or agree to grant Heritage Trust Network the following permissions:

I understand that the contact details I supply will be publicly visible on the HTN website (unless otherwise indicated in this form).

I will email a minimum of 3 images of building preservation projects we are working on (people or buildings) and give permission for you to use these images on your website, social media, newsletters and printed and online marketing materials (admin@heritagetrustnetwork.org.uk)

If I am unable to provide images, I give permission to Heritage Trust Network to select some from our website and use these images on your website, social media, print material and in newsletters.