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User Registration page

Please fill in the registration form below. We're sorry it's rather long.

Account Details

Username: *

Password: *

Confirm Password: *

Your Details

First Name: *

Surname: *

Email: *

Organisation Name: *

Please enter your organisation name, or enter 'sole trader' if this is applicable; otherwise enter NA (not applicable).

Position:

Address 1: *

Address 2:

City/Town: *

Postcode: *

Borough: *

Telephone:

Mobile:

Extra Information

Who referred you to Social Enterprise London: *

It's important that we gather this information, if this is not applicable then please enter NA.

Gender: *

Age: *

Do you define yourself as having a disability? *

(This includes, but is not limited to, medical conditions such as diabetes, cancer, MS, asthma, mental health conditions, learning difficulties, mobility difficulties, hearing or sight impairments)

Which of the following best describe your ethnic origin? *

(Please note that ethnic origin questions are not about nationality, place of birth or citizenship)

Other:

Please read the terms and conditions.

I have read and agree to the terms and conditions *

Click the "register" button below to join the network as an individual member for free.

Click "continue" to enter your company details. You have two options:

Basic Membership (Free): You will receive our fortnightly newsletter and be able to attend our events and partner's events. You can see other benefits here. Note: With this option your organisation will not appear in the London Social Enterprise Directory.
Full Membership (£35.00+VAT pa): In addition to the basic membership benefits, your organisation will be entered onto the London Social Enterprise Directory and you will be able to advertise your products/services. You will also be eligible for a 2h session of one-to-one business advice.

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