Become a member of Merseyside Coalition of Inclusive Living

Become a Member of MCIL

To join MCIL please fill out the membership form below. Benefits of membership include:

Membership Form

Please complete the form below. Mandatory fields are marked with an asterisk *.

First Name*
Surname*
Address* Address
Postcode*
Telephone
Mobile
Email Address
Date of Birth
Membership Type* Full (Disabled Person) Associate member (Non disabled Person, no voting rights)
Please let us know if you have any access requirements. This could include information in other formats or level access to attend meetings.
Access requirements
Do you have any particular dietary needs? For example, vegetarian, gluten free etc.
Dietary Needs
Disclaimer.*
1. I understand that in the unlikely event of MCIL going into liquidation that I may be liable for the sum of £1 to offset any of its debts.
Agree Disagree