Name of organisation/individual
Please select three commitments in total, at least one from each section.
Additional (Voluntary) Commitments:
List any additional commitments (from the two categories above)
Contact name at organisation
Contact email address
Once your form has been received, you will be sent the 'Everybody In - We're IN-clusively Minded logos, and we'll request a copy of your company logo to use on the website.