Membership Enquiry Form Title: MrMrsMissMs Forename: SurnameReference2_ Company Name: Address line 1: Address line 2: Town: County: Postcode: Email Address: Mobile Telephone: Office Telephone: Fax Number : How long have you been involved in door-to-door distribution?   years  Please detail the postcode areas your team(s) cover? How many leaflets would you be able to deliver in a week?leaflets  Do you have warehouse and fork lift truck facilities? How much do you charge for delivery of an A4 leaflet? £ per 1000 leaflets  How many distributors do you employ? Which distribution companies have you worked for in the past (eg TNT, Link Direct)?  Please supply details of two companies that will recommend the quality of your work Company 1) Name Company Name Address Phone No Company 2) Name Company Name Address Phone No Further Information (optional):

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