Membership Form

Trading Name (required)

Contact Name (required)

Address

Postcode

Telephone Number

Mobile Number

Fax

Email

CPH No

Acres Farmed

No. Bags Required

Annual Membership date from start to finish

Start Date -

End Date -

Please read our Terms and Conditions


I/we wish to apply to become a member of the FarmXS Waste Plastic Disposal Scheme/ I/we have read, understood and accept the Terms & Conditions of Membership.