Registration Form

Membership of the Norfolk LINk is open to anyone who lives in Norfolk or receives health or social care in the area.

Being a member means you care!

  • Join our working groups, who review the delivery of health and social care
  • Get involved in monitoring the provision of health services
  • Work with experienced health and social care commissioners to develop or redesign new or existing services
  • Stand for election to become one of our Strategy Group
  • Monitor the work of the LINk and help us decide which issues should be investigated
  • Receive our monthly newsletters & networking event invitations

If you would like to become a member, click here for our membership form or contact our host organisation on 01603 883 860 to receive a hard copy or for help in filling in the form.

Membership Registration Form

Applicants must be over 18 years of age.

Either complete the online-form below or print the registration form and send it to:

Freepost RRRZ-JYYZ-GJHC
Norfolk LINk
83-87 Pottergate
Norwich
Norfolk
NR2 1DZ

Registration Form

Boxes marked with a star (*) must be filled in.

Your details










How do you wish to be contacted?





How involved would you like to be?








I am particularly interested in:



















It is important that Norfolk LINk is representative of the diverse community of Norfolk. You have the option to answer the following questions which will help us to be sure we are representing our community.

Monitoring information




If you have a disability, please let us know of any access needs.




Or enter an other Culture/Belief/Lifestyle you wish to represent:


How did you hear about Norfolk LINk?


Privacy

I am happy for my details to be passed to other Norfolk LINk members and host staff. Norfolk LINk respects your privacy and seeks to protect your personal data. The information given in this form will only be used for the purposes of Norfolk LINk and will not be passed to other organisations or third parties without your consent.