DotComUnity membership application form
 
Invitation Reference *
 
Your contact details
 
Title *
Forename *
Middle Name
Surname *
Gender *
Date of Birth / / *(Age: )
National Insurance Number *
 
Home Address House number/name or *
Flat number

Street

*
Town *
County *
  Postcode *
 
Personal Email Address *
Telephone Number (if mobile only, enter here) *
Mobile Number
 
 
ID verification methods
 
To comply with anti-money laundering regulations, we use an integrated online process. Please indicate below which method of identification you will be using.
 
Please Select *
 
 
I hereby apply to join DotComUnity Membership
 
I hereby apply to join DotComUnity Membership

I understand that DotComUnity Membership is part of Community Benefits Group C.I.C ("CBG").

Community Benefits Group C.I.C: Company Number: 08191729; VAT registered: GB158558174; DPA registration number: Z3580570; Registered Office: Russell House, Oxford Road, Bournemouth, Dorset, BH8 8EX

I understand that only once my DotComUnity Membership has been accepted, will I be able to access DotComUnity Member Benefits.

I hereby apply to join DotComUnity Membership.
 
I agree to the DotComUnity Membership 'terms and conditions'
 
Would you like to join DotComUnity at this time