Membership application 2 Membership application School/Organisation Name(required) Independent School or State School or Other Organisation(required) Independent School State School Other Organisation If other please state Contact name(required) Job title(required) Email (please use school email)(required) School/Organisation Address(required) School/Organisation Telephone number (required) Name of Head (required) Contact email for Head (required) 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) Click here to continue Δ{{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn more{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn more{{/message}}Submitting…