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 MEMBERSHIP APPLICATION

* Required Fields.

Your details

Title*

First Name*

Middle Names

Last Name*

Please Select Mr Mrs Miss Ms Dr Prof * Please select a title

*

*

 

Job Title*

*

Organisation*

*

Organisation Address*

*

Town/City*

*

Postcode*

*

Tel No.*

*

Mobile No.*

*

Email*

Email Address Not Valid. Email is required. Email address Verified!

Home Address*

*

Preferred communication address?
Office
Home

 

New Members Qualifications

Please list all relevant qualifications dates and where attained

Please list your practical experience

Please provide a list of any other Institute/organisations that you belong to

Please provide approval to discuss the content
of your qualifications with the awarding body.

Type of Membership being Applied for:

Full UK Associate UK Including Vol/Third/Civil Sectors Full/Associate Overseas Full/Associate Reduced Rate (<£17,500 fte) Career Break Full Retired

 

Payment

	Single Payment by BACS, Cheque or Credit Card	Annual Direct Debit Payment	Monthly Direct Debit Payment (preferred option)
Full UK	£181.50	£172.50	£167.40 (12 x £13.95)
Associate UK Including Vol/Third/Civil Sectors	£136.20	£129.40	£125.99 (12 x £10.50)
Full/Associate Overseas	£154.30	£146.60	£142.80 (12 x £11.90)
Full/Associate Reduced Rate(<£17,500 fte)	£108.90	£103.50	£100.80 (12 x £8.40)
Career Break	£54.45	£51.75	N/A
Full Retired	£36.30	£34.50	N/A

 

How would you like to pay?
Single Payment Online (£181.50):
Request Invoice for Single Payment:
Request Direct Debit (Annual):
Request Direct Debit (Monthly):


Please complete the following invoice details:

Your Name:


Name of person invoice to be sent to if different from above:


Invoice Address:


Postcode:


Purchase Order / Invoice No (if applicable):