Registration - Silverstone Technology Cluster

Description of your business (200 characters max)*

Please indicate your number of employees and STC membership band (tick box)

No. of employees Annual membership fee (+VAT)

1-5£350

6-10£700

11-20£1,000

21-50£1,500

51-100£2,000

101-200£3,000

201+£5,000

Where did you hear about us? If referred, please enter the name of the company who recommended us.

What is your main reason for joining?

Primary Contact

Name*

Job title*

Email address*

Phone number*

Mobile number*

Invoice Contact Same as primary contactDifferent details to primary contact

Name*

Job title*

Email address*

Phone number*

Mobile number*

Additional contacts(please provide the details for all of those in your organisation who would like to receive our newsletter)

Name

Job title

Email address

Phone number

Mobile number

Name

Job title

Email address

Phone number

Mobile number

I confirm that by completing this form, I agree that our organisation will become a member of Silverstone Technology Cluster. By completing this form I confirm I agree to the Silverstone Technology Cluster terms and conditions of membership and am authorised to accept these terms on behalf of my company / organisation. I acknowledge that once our membership has been authorised we will receive an invoice from Silverstone Technology Cluster which we will pay within 30 days. Each year on the anniversary of joining, we will receive an invoice for the forthcoming year. Invoices will need to be paid within 30 days to maintain continuous membership and all the benefits that it brings. Once our membership is active I agree to Silverstone Technology Cluster using my personal data to inform me of industry related news and opportunities. The basic company information will be used to populate our free company profile on the website. I understand that my personal data will not be passed on to any third party without my prior knowledge. As part of the Make UK affiliate membership I understand that my basic contact information - name, address, phone number and email - will be passed on to Make UK so that they can deliver this service.

Member Registration