Trusts United Membership Form Please fill in these few short questions if you wish to become a member of Trusts United * 1. Forename * 2. Surname * 3. Do you work for... South Tees NHS Foundation Trust North Tees & Hartlepool NHS Foundation Trust North East Ambulance Service - NHS Foundation Trust None of the above - independent member * 4. Please enter your email address * 5. Are you happy for Trusts United to send you emails about news and events Yes No Done