Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you age 16 or over? *

Yes

No

How did you hear about Câr-Y-Môr? *

Social Media

Câr-Y-Môr Website

Talks or Presentations

Following a purchase online

Other

Becoming a member offers lots of opportunities to get involved. How do you believe that you can you support Câr-Y-Môr?

Receiving the newsletter and attending the AGM

Physical volunteering

Desk based volunteering

Investing financially in the society and becoming a shareholder

Applying to become a board member

Being a publicity champion, by sharing our social media posts & telling people about our work

Being a retail champion, by helping to find new shops and restaurants to supply our product to

Other

Câr-Y-Môr is a community benefit society, with the aims of improving the coastal environment, and the well-being of local people. Please confirm whether you support these aims? *

Yes

No

Would you like to know more about the Pioneer Share Offer and how you or your organisation can financially invest in Câr-Y-Môr?

Yes

No

I accept that as a member my personal details will be stored by Câr-Y-Môr and that I will receive occasional communications. *

Yes

No