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Granby4Streets-Community Land Trust

CART

Granby 4 Streets Community Land Trust - Membership and Supporter application form

Name *

Name

First Name

Last Name

Email Address

Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

Gender

Male

Female

Racial Origin

Would you like to be?

Full Member

Supporter

To be a member, you must come within one of the following categories - please tick any which apply:

I live or work in one of the four streets: Beaconsfield, Cairns, Jermyn or Ducie

I live or work in Liverpool 8

Or, I have an interest in the Granby 4 Streets area because I am:

A representative of Liverpool City Council

A representative of a housing association/Registered Housing Provider

A representative of a funder/potential funder or a social or private investor

A representative of a community, youth or local business organisation

I would like to receive updates on the CLT’s activities

Yes please

No thanks

I would like to be invited to campaign events

Yes please

No thanks

I would like to be invited to public information events and talks

Yes please

No thanks

I would like to be invited to Granby Community Land Trust open meetings

Yes please

No thanks

Thank you!