Name of organisation/individual
We are/I am a:
If other, please specify:
As an organisation we
Core Commitment
Our Core Commitment is (select one):
Or list your own choice of commitment:
Supplementary Commitments
Our Supplementary Commitments are (choose two):
Or list your own commitment(s):
Contact name
Job title
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.