Join — The CORN Network

Join the Network

Is your organisation located in or delivering services in South West Inner-City area? Are you a community based, volunteer-led organisation or resident’s association?

If the answer to these questions is yes, we would love to hear from you via the form below

By submitting this form, you agree that the information you provide will be used to add your organisation to the list of members on the CORN website which is publicly accessible to anyone who visits the website. This information will only be used for the website and will be stored in our database according to our Terms & Conditions and Privacy Policy.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Name of Organisation

Address of Organisation

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organisation Website

http://

By ticking the box below, you agree that The CORN Network may display the name, location and a small about section of your organisation on our website. The personal information required (your name and email address) will not be made visible on our website and will only be used for distribution of our Newsletter and individual contact if necessary.

Agree