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Title*

Name*

Address of organisation*

Telephone*

Fax*

Email*

Other comms *

Type of Organisation *

Name of Lead Officer *

No of Paid Staff *

No of Volunteers *

Geographical area covered *

Mail address if different from above *

Your Fees/Number of Staff

* Applications for Membership will be subject to approval at the next Board Meeting. On approval Space will issue an invoice.

Supporting Information
Space is a network of member organisations that are committed to working together to tackle social exclusion across East of England(Norfolk, Suffolk, Essex. Hertfordshire, Cambridgeshire and Bedfordshire). Space is committed to maintaining diversity within its membership and our members combat social exclusion at the front line by providing emergency accommodation, affordable housing, advice, support, counselling and advocacy for ex-offenders, women escaping violence and exploitation, substance users, homeless people and people experiencing mental health problems.
Space and it’s members are committed to equal opportunities and to promoting innovation and good practice through shared information, training, networking and resources.

Please outline the aims and activities of your organisation:
(please attach any supporting information eg. Annual Report or supply these by post).

• I understand the aims and objectives of Space and have received information about the current services available to our organisation. I understand that membership is subject to approval by the Board of Trustees and that I will receive notice of membership on approval (please check box).


• I understand our organisation’s right to vote as outlined in Space’s Articles of Association
(please check box).


• I understand that membership may be ended by any act which is detrimental to achieving the objects of Space or likely to bring the name of Space into disrepute as outlined in Space’s Articles of Association (please check box).

You may also contact us by telephone on 01603 617299 or email Laura at ryan@space-east.org

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