Part 1   Application for individual membership Title     Surname     First name(s)     Organisation & Address     Job title   'Phone number (work)     'Phone number (mobile)     E-mail address    To save postage and printing, we will communicate with you by email. Please tick the box if you would prefer to be contacted by post        [  ] Mailing address if different from above
Membership category applied for Total amount enclosed Individual @ £30.00   £ ........................................ Unwaged Student/Retired @ £18.00