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Membership Registration Form
Membership Registration Form
Note: Individuals can apply - you do not have to be a part of an organisation.
1. Individual Applying:
Contact Details
Name of Organisation
Telephone No
Mobile No
What best describes you or your organisation
  An individual interested in Muslim women’s issues
  An individual actively working with Muslim women
  An organisation with an interest in Muslim women
  An organisation actively working with Muslim women
  Government official working with a remit for progressing work on Muslim Women
  An elected politician
Do you or your organisation operate locally, or regionally or nationally?
Please indicate which one applies to you?
  In education (Please state whether pre-16; post 16; undergraduate; graduate; or post graduate)
  Private Sector
  Voluntary Sector
  Political Representative
  Government Official (Please state whether local, regional or national)
  Other (Please specify)
What are your (or your organisation’s) areas of interest or expertise. Please include details about any of your work, skills, experiences and professional qualifications that you think are relevant.
Approximately how many women do you think you can reach.
  Upto 10
  Up to 50
  Up to 100
  Up to 250
  Up to 500
  Or state how many
As a member of MWN-UK, please tell us what you are interested in.  You may tick more than one option.
  Receiving regular newsletters and / or information
  Attending workshops
  Attending occasional member events
  Acting as a mentor
  Helping with training / sharing skills
  Voluteering (e.g if we organise local events / consultations)
  Being involved on the steering group
(Note: numbers on the steering group will need to be restricted for practicality)
How did you hear about us?
*What is your ethnic background?
*What is your age group?
  Under 16
  45 plus
*Year of birth
  E.g. 1/12/1990

*What is your religion, if any?
(non-Muslim women who work with Muslim women may also apply)

I agree to objectives outlined in the MWN-UK terms of reference.
Name Date:
Security Verification:
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*these questions are asked for monitoring purposes only.

Note: MWN-UK has the right to refuse or revoke membership.  Also attendance at meetings may be limited for reasons of practicality

Please return the application forms to the address below.  If you e-mail applications, please also put a copy in the post.

MWNUK, The Warehouse, 54-57 Allison Street, Digbeth, Birmingham, B5 5TH,  Telephone:  0121 236 9000 
E-mail:  Website:
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Muslim Women's Network UK
The Warehouse
54-57 Allison Street
B5 5TH

Registered Charity No. 1155092

Contact Details

Tel: 0121 236 9000
Mobile: 07415 206936

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