Membership Sign Up Form Retail / Distribution Business If you have any questions relating to the membership application form please contact info@tastecauseway.com Full Name Email Address Telephone Number Business Name Registered Business Address Address where main business activities take place (if different to registered address) Description of Business Number Of Employees 0 to 3 Employees 4 to 9 Employees 10+ Employees Name of Environment Health Office where your business is registered Environmental Health Rating Website URL Facebook Page Instagram Page Twitter Handle Do you currently achieve this? Yes No If yes, please list any local products you currently use or sell. If no, are you willing to work with Taste Causeway to achieve this? Yes No Is your business willing to commit to working collaboratively with Taste Causeway facilitator on the production of associated Taste Causeway Point of Sale material? Yes No Is your business willing to actively promote the availability of local Taste Causeway products i.e. via social media or traditional marketing channels? Yes No Is your business willing to work with producers on in-store tastings, talks etc. where feasible? Yes No I confirm that I have read this Code of Practice & that my business will commit to following it & that I accept there may be periodic audits to confirm our compliance to Taste Causeway membership. Submit