Membership application 2

Membership application

School/Organisation Name

Independent School or State School or Other Organisation(required)

Independent School

State School

Other Organisation

If other please state

Contact name

Job title

Email (please use school email)

School/Organisation Address

School/Organisation Telephone number

Name of Head

Contact email for Head

Name of Partnership (if applicable)

Choose Tier

Select one(required)

Member – FREE

Supporter – £795

Silver Supporter – £1850

Gold Supporter – £3495

Payment options for supporter tiers.

You may either request an invoice and send payment via BACS or pay online. To be invoiced, please confirm the membership tier you are applying for and tick yes below.

Request invoice before payment

Yes

No (or Free Membership)