|
About your business |
||||||
|
Business
name |
|
|||||
|
What
services does your business provide? |
|
|||||
|
Does
your business provide any specific services/products for people with a
disability? |
|
|||||
|
Number
of staff |
|
|||||
|
Would
you be willing to offer any discounts for MAD Scotland members? |
|
|||||
|
Contact details |
||||||
|
Named
contact for all communication |
|
|||||
|
Contact
postal address |
|
|||||
|
Contact
telephone number |
|
|||||
|
Contact
email address |
|
|||||
|
Business
website |
|
|||||
|
Data Protection (please tick) |
||||||
|
Can
we share your contact email and website address on our website? |
|
|||||
|
Can
we use your details to contact you about news and events from MAD Scotland? |
|
|||||
|
Membership |
||||||
|
Registration
for businesses is £100 and this entitles you to free lifetime membership. Members
of staff may purchase a range of merchandise – available from our website. In
addition to the free certificate of registration we also have window stickers
available at a cost of £5.00. Would you like to purchase one for your
business (if yes, please include appropriate fee along with your initial registration
fee. |
|
|||||
|
Signed |
|
Date |
|
|||