New CRX member registration form

This registration form is only for use by applicants who have been approved by the membership and this approval has been confirmed to them in email by either the CRX chair or membership secretary.

Please include as much detail as you can, as this information will be used for the online directory on our website and our printed booklet, which is published twice a year.

If you don’t have a organisation logo or a headshot image available now, don’t worry, you can add it later.

You and your business
First Name*
Last Name*
Job Title
Organisation
Category* CRX only allows one member per business category. This field describes your category eg "fire & security", "care at home", "HR Consultancy", "Cost Management", "General IT Support", "Accountancy". Please be as specifific as possible.
Contact Info
E-mail*
Work Phone Required phone number format: (+44) ##########
Mobile Required phone number format: (+44) 7### ### ###
Website
Address line 1
Address line 2
Town / City
Post Code
Facebook Enter the url of your Facebook page eg https://www.facebook.com/mycompany
Twitter Enter the url of your twitter account eg https://www.twitter.com/mycompany
LinkedIn Enter the url of your LinkedIn account eg https://www.linkedin.com/mycompany
Instagram Enter the url of your Instagram account eg https://www.instagram.com/mycompany
Company Description
Company description* Brief description (no more than 600 characters, including spaces and punctuation) for use in the full list of members on the website and the printed directory of members.
Head shotUpload A good quality head shot in .jpg or .png format, with minimum dimensions of approximately 1200 pixels width x 1600 pixels height and a file size of at least 200Kb. For use in the full list of members on the website and the printed directory of members. If you don't have an image available now, you can add it later.
Organisation LogoUpload A good quality logo image for the member's organisation in .jpg, .png or .gif format (minimum 1024 pixels width x 996 pixels height). For use in the full list of members on the website and the printed directory of members. If you don't have an image available now, you can add it later.
Create your CRX website account
Username*
Password* Minimum length of 8 characters.
Repeat Password*
Agreement
I agree to the CRX Charter*You must agree to our terms and conditions in order to become a member of CRX ( View Charter)
I allow the website to collect and store the data I submit through this form. I agree that CRX may share information about me and my organisation through the CRX website, emails, social media and printed mailshots.*
Marketing fund contribution
Membership of CRX is only by approval from the members. It is a condition of membership that all members pay an annual, non-refundable, contribution to the CRX Marketing Fund. You must ensure that your application for membership has been approved before making this payment. Members are expected to attend meetings as often as possible (at least 50% of meetings). As a member, your details will be included in the online and printed members directory.
CRX Members - £80 / 1 Year
Following approval by the membership, complete this form and make the required contribution to CRX's marketing funds in order to benefit from full membership of CRX. This includes attendance at weekly meetings and inclusion in the directory of members, which is displayed on our website and published to print twice a year.
Automatically renew subscription
Select a Payment Method
Manual/OfflineCredit / Debit Card
No payment methods are available for the selected subscription plan.
Credit / Debit Card Information
Billing Details
Billing First Name*
Billing Last Name*
Billing Email*
Billing Company
If entered, this will appear on the invoice, replacing the First and Last Name.
Billing Address*
Billing City*
Billing Zip / Postal Code
Billing Country*
Billing State / Province