York BID Safety Network Member Sign-Up Form

Please confirm whether you are applying to sign up to the whole scheme, or just the Sentrysis platform:

Thank you for your interest in the York BID Safety Network information sharing scheme.

To sign up, please complete the form below. Please note that the information your provide is also communicated to key third parties involved in managing and administering the scheme.

Your Business Name *

Type:

Your York Business Address*

Contact Name *

First NameLast Name

Job title *

Business contact email address*

example@example.com

Contact Number(s)*

If you have a head office address and contact details dealing with finances, please provide details below:

Please provide emails addresses and names of employees who you'd like to access the Sentrysis information sharing platform:

	Name	Email Address
1 (Main lead)
2
3
4

Signature to confirm that you have authority to act on behalf of the company:

YBSN Member Sign-Up