Full Name:    * This is the name of the contact to be used for your contact and how we will refer to you.

Company Name:    * The name of the company you are representing. Other details will be entered later.

Email:    * This must be a valid email address since it is used for password reminders

Phone:    Please enter a phone number, including the area code, that we can contact you on.

Dietary Requirements:  
   Enter any special dietary requirements that you might have.

Username:    * This must be a unique username that will be used for logging in and out of the website

Password:    *
Show PasswordsPasswords must be at least 8 characters long. Secure passwords will contain letters, numbers and preferably symbols. The use of both upper and lower case characters is recommended. Do not use spaces.

Repeat Password:   * Please re-enter the Password from above.

Are you are a robot?:   Are you a robot  Please check the I am not a robot box and if prompted, follow instructions in the pop up box that may appear. This is to prevent the sign up system from being spammed

Tell me about upcoming meetings?:  YesNo  If you would like to receive updates about forthcoming meetings and socials, sign up to our e-newsletter, sent via Mailchimp by selecting Yes. You will then receive an email from Mailchimp to confirm your subscription, which you can cancel at any time.

*I have read, understood and agree to the Mid Devon Network Privacy Policy (including GDPR), Terms & Conditions I agree to my personal data (name, phone and email) being used to communicate with me about the activities of the Mid Devon Network (MDN), being published to other members and guests during and after events, and if I become a member my business profile published on the MDN website. I have read the MDN privacy notice and am aware that I can request to cease my membership and have my personal data removed from the MDN systems at any time.