Application Form

All prospective members must complete this application form and submit it with payment to the membership committee for review. After submission, the membership committee will review the application and notify the prospective member of acceptance or non-acceptance.

Upon acceptance to Plymouth Business Network the member is expected to set up a monthly standing order of £30.00 payable on the 1st of each calendar month which are non-refundable.

No correspondence will be entered into for reasons on non-acceptance the committee decision is final.

Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Business Name*
Website
Address*
Street Address Address Line 2 City County Post Code
Email*
Mobile Phone*
Work Phone*
Category Applied For*
Experience in Field*
Position in Company*
Qualifications/Credentials*
Is the occupation that you have applied for*
- Full Time
- Part Time
How long have you been with the company you are representing today?*
Are you willing to abide by PBN policies and procedures?*
- Yes
- No
Sponsors Name (If Applicable)
Business Reference Name 1
R1 Name
First Last
R1 Position
R1 Business Name
R1 Phone
R1 Email
Business Reference Name 2
R2 Name
First Last
R2 Position
R2 Business Name
R2 Phone
R2 Email
R2 Business Relationship
R2 Business Relationship
Consent*
I agree to abide by policies and procedures
Upon acceptance to the Plymouth Business Network, I agree to abide by policies and procedures listed on the website www.plymouthbusinessnetwork.co.uk during the tenure of my membership. The information, which I have given in my application form, is true to the best of my knowledge. I consent to this information being verified by fair and lawful means, which I understand may involve contacting the references listed above and licensed credit reference agencies. I agree that the information supplied by me will be held in accordance with the GDPR 2018.