Equals Isle of WightBuilding Bridges to celebrate and embrace diversity on the Isle of Wight.

Application Form for Equals Membership
Please complete the form and click the Submit button when finished.
Title (*)
Mr, Ms, Mrs etc
First Name (*)
Please type your full name.
Last Name (*)
Please type your full name.
Please fill in your home address.
Address (*)
Please enter the first line of your address
Where required
Town
Where relevant
County
Where required
Post Code (*)
Please enter your post code. If missing on letters Royal Mail may impose extra charges.
Country (*)
Please enter your country
Please fill in details of how we can reach you.
Daytime Tel
Please enter your daytime telephone number
Evening Tel
Please enter your evening time telephone number
Mobile
Please enter your mobile or any number where we can reach you during events or other times.
E-mail (*)
You must enter a valid email address to use the online form. If this is not convenient please contact the Membership Secretay whose details are at the foot of the page
Please add your work address if this is likely to be useful.
Work Address
Please enter the first line of your address
Where required
Town
Where relevant
County
Where required
Post Code
Please enter your post code. If missing on letters Royal Mail may impose extra charges.
Country
Please enter your country
Only add your work email where use by Equals will be allowed by your employer.
E-mail
Invalid email address.
Do you have any relevant experience or contribution to make which might benefit the group?
Invalid Input
How should we contact you?
By clicking the submit button you are confirming that you subscribe to the Equals constitution and wish to apply for membership of Equals.
  
The information contained in this form will be added to the membership list of Equals and will not be passed on to any other agency.
If you have trouble accessing this form please write to: The Equals Membership Secretary, c/o Rural Community Council Isle of Wight, 3 Langley Court, Pyle Street, Newport, Isle of Wight PO30 1LA or telephone 07554 038716.