Part 1   Application for organisational membership Organisation & Address     Name of Lead member please see below   'Phone number (work)     'Phone number (mobile)     E-mail address    Name of Member 2 Name of Member 3 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 Organisational @ £80.00p   £ ........................................ Organisational applicants only  The Lead member whose details appear above will constitute the nominated main member - see Terms of Reference and Membership Categories for details