Family Membership Application Form
Become part of our No1 CopperPot family and benefit from all of our products and services!
Once you have submitted this application form, we will contact you to ask for the following:
> Your signature, and the sponsoring member’s signature on a copy of this application form that we will provide.
> A signed direct debit mandate.
Want to speed up this process?
Once you have completed this application, we will post a copy of the form and a direct debit mandate for you to complete and sign. To speed up your membership process we do allow you to send this information back to us via fax or email. Simply send both documents by fax to 0845 130 2518, or email to firstname.lastname@example.org.
Once we receive the above, the account will be set up.
Please make sure you read our general terms and conditions before you apply.