Join as a Community Member - Co-operative Care Colne Valley

Community Members are individuals and organisations that want to show their support for our distinctive approach to adult social care using a community-owned and led democratic not-for-profit business model.

Community members purchase a single £1 share* that makes you a voting co-owner in our one-member one-vote organisation. We also ask for a contribution – you can choose the level of this donation – which goes towards the costs of payment processing, administering and communicating with our membership.

Please note that applying via this form you are committing to an annual recurring payment. You will be setting up an annual Direct Debit (we use the GoCardless service to assist with this), and the total amount you contribute will be collected each year. Payments collected in subsequent years will be treated in their totality as donations (i.e. you will only purchase a single membership share). As with all direct debits you can choose to cancel at any point.

We welcome applications from businesses and other organisations that would like to support our work. If you wish to apply on behalf of an organisation or business, please tick the box below to let us know and provide the requested details details both for yourself as the initial point of contact, and for the organisation. Once your application has been approved we'll be pleased to add your colleagues to our mailing list should they wish to be kept informed about our work.

Select the amount that you wish to contribute from the options offered below. Please contact us if the options offered here don't align with the level of support that you would like to provide.

Membership contribution *

Individual Member contribution (minimum) - £ 1.00

Individual Member contribution - £ 10.00

Individual Member contribution - £ 30.00

Individual Member contribution - £ 60.00

Organisational Member contribution (minimum) - £ 50.00

Organisational Member contribution - £ 75.00

Organisational Member contribution - £ 100.00

Your member share purchase *

Community Member - £ 1.00

Please renew my membership automatically.

Total Amount

I am applying on behalf of an organisation

On Behalf Of Organization

Organisation Name *

Telephone no. *

Contact email *

Address *

Address 2

Village/Town *

Postal Code *

Your details

First Name *

Last Name *

Please enter your date of birth using the format dd/mm/yyyy – or use the pop-up date picker to select the correct date.

Date of Birth *

Address *

Address 2

Village/Town *

Postal Code *

Please provide both a phone number and an email address wherever possible so that we can contact you.

Telephone no:

Email address *

If you would like to make a financial contribution to our work but do not wish to become a member of our organisation, you can simply make a donation here.

If you would like to talk to us about how you, or an organisation that you represent, can better support our work, please get in touch to arrange a discussion.

*The share that you are applying for is a non-tradeable withdrawable share in Colne Valley Equitable Care Society Liimited, the Community Benefit Society that trades as Cooperative Care Colne Valley.

Data Protection

The personal data provided by you on this form will be stored by Colne Valley Equitable Care Society Limited in an electronic database and in accordance with the General Data Protection Regulation (GDPR). The data will only be used by Colne Valley Equitable Care Society Limited in relation to the governance of the Society and to communicate the activities of the Society to you. Your personal data will not be disclosed to any third party except for any body having a statutory right of inspection.

For more information about how we treat your personal data, please read our Privacy Notice.