Apply to join

• Please complete the form below carefully.
• The section highlighted in blue will be used to create your Directory entry; the remainder of the form is for administrative use only.
• Please note that each membership will buy you one "home base" listing, and (if required) up to two "second base" listings.
• Check on the map to decide on your "bases" before you begin.

Business name * Contact name * Home base * ScotlandNorth East EnglandNorth West EnglandEast MidlandsWest MidlandsEasternLondonSouth East EnglandSouth West EnglandWalesNorthern IrelandRepublic of IrelandChannel Islands Second base (1) None Scotland North East England North West England East Midlands West Midlands Eastern London South East England South West England Wales Northern Ireland Republic of Ireland Channel Islands Second base (2) None Scotland North East England North West England East Midlands West Midlands Eastern London South East England South West England Wales Northern Ireland Republic of Ireland Channel Islands Home base county * Description of area covered (max 50 characters) * Your website (URL) Phone (land line) for publication Phone (mobile) for publication Email address for publication Your Directory entry * E-mail Address: * Postal address * Phone number(s) NOT for publication I have paid my membership fee by * ChequeBACSPayPal Any other message to the website administrator? Verification Code: Enter Verification Code: * * Required