members sign up

Name

First Name

Last Name

Email Address

Contact Number

Please select your membership preference;

Business Member (I operate a business and would like to become a member)

Friend Member (I am interested in your cause and would like to support you)

Business Name / Organisation

Additional Message

Please note that by signing up to become a member, your e-mail address will be added to a google group. This allows us to share information and updates with our members and encourages an ongoing dialogue. If you would prefer not to be included in a google group conversation please e-mail us at vitaloldkentroad@gmail.com.

We are a small not for profit association. However in order to continue operating we require some assistance, please visit our crowdfunding website here if you would like to make a small donation to our association. We greatly appreciate your support.