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.

* 1. Full name of organization / group:

* 2. Website address:

* 3. Key Contact's full name:

* 4. Key Contact's email address:

* 5. Key Contact's phone number:

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

* 7. What's your group size?

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

* 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.
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