Village Screen Member Registration

If you would like to apply to become a member of Village Screen please complete this registration:

Registrations must be made by not-for-profit community groups and not individuals.


Group & Venue Information
Group Name
Group Type
District Council
Website
(Enter the website address of the group/village/village hall/parish council as appropriate)
Venue Name
Venue Address 1
Venue Address 2
Venue Town
Venue Postcode
Venue Capacity
Venue Type
Primary Contact
Title
First Name
Surname
Address 1
Address 2
Town
Postcode
Telephone
Email
Secondary Contact
Title
First Name
Surname
Address 1
Address 2
Town
Postcode
Telephone
Email
Invoice Contact
Use Main Contact
or Secondary Contact
Website Login Details
Username
Password
  
Confirm Password