Online registration form

Please note, the online registration process is set up in three parts - please complete and submit each part as you go. Alternatively, download and print off a paper copy of the form from the How to Register page and post the completed form to the address supplied.

Thank you!

Online Registration Form

Part 2

* Indicates required field

Daytime and/or Evening tel: *

Mobile tel: *

Email address: *

Electoral Ward (hover cursor for options): *

Neighbourhood Partnership Area *

Send Part 2 now

Part 3

DECLARATION: I am happy for my details to be held by the Committee of Bristol NW Network and, from time to time, to receive information via email from Bristol NW Network. *

Yes

* Indicates required field

DATED: *

Our aim is eventually to have Committee Member representation from each of the 14 Neighbourhood Partnership Areas of the city. With this in mind, if representation is needed from your Partnership Area, are you willing to be considered as a Committee Member? *

Yes No I would like more information before deciding

Could you help develop BNWN with marketing, fundraising, secretarial or other skills ? *

Send Part 3 now