Application form for Organisations

Please complete the following form fully

Organisation Name:*
Organisation Contact:*
Position within Organisation:*
Organisation Address:*
Town / City:*
Organisation's Tel No:*
Contact Person's Email Address:*
Confirm Email Address Above:*
Organisation's Website Address:
How did you hear about the Workers Beer Company?:
How would you categorise your organisation?:*

If other please specify:
Briefly what are the main aims of your organisation and to what use would you put funds raised?:*
Please insert a contact email which can be taken up as a reference for your organisation from the wider labour movement (eg. An officer from a regional labour party / trade union branch secretary):*