MESH Application

To apply for membership of MESH, please complete the form below then click Submit.

Please do not use this application form to renew your MESH membership, for renewal information, login to the member area or email the secretary at

Organisation Name: *
Parent Organisation:
If a parent organisation is paying the membership fee,
then please provide the parent organisation's name.
Organisation Address: *
County: *
Postcode: *
Organisation Phone:
Organisation Email:
Organisation Website:
Number of Employees:
Organisation Director / Manager responsible for Health, Safety & Environment
First Name:
Other Safety Groups:
Please list membership of any other saftey groups
* Required field
Member's First Name: *
Member's Surname: *
Member's Title: *
Member's Job Title:
Member's Phone: *    Ext:
Member's Mobile:
Member's Email Address: *
Re-enter Email Address: *
* Required field
The membership fee is £
Payment can be made by Cheque or via Internet Banking / BACS.
Payment Method: Cheque    Internet Banking / BACS   *
* Required field
Please enter the characters that you see in the box, this helps prevent automated programmes from using this service. If you are not sure what the characters are, either enter your best guess or click the New Code button next to the characters.