Thank you for your interest in becoming a Member of the London Environmental Network (LEN). Please fill in the following information so we can learn about your desired involvement with the Network.

Full name of organization / group:

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* 1. Full name of organization / group:

Website address:

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* 2. Website address:

Key Contact's full name:

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* 3. Key Contact's full name:

Key Contact's email address:

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* 4. Key Contact's email address:

Key Contact's phone number:

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* 5. Key Contact's phone number:

Does your group have an environmental focus - either as its mission or in some of its initiatives? Please explain. 

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* 6. Does your group have an environmental focus - either as its mission or in some of its initiatives? Please explain. 

What's your group size?

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* 7. What's your group size?

What Membership Benefits are you most interested in?

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* 8. What Membership Benefits are you most interested in?

Do you comply with the Membership Criteria - as seen here.

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* 9. Do you comply with the Membership Criteria - as seen here.

Thank you! We will contact you within 24 - 48 hours with more information about membership.
 
100% of survey complete.

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