Organisational Affiliate Application Form - Invoice Only

* signifies a required field
 

Organisation details

Summary of your organisation’s products and/or services. This introductory information will be used alongside your company logo in the relevant section of the Institute’s website and should be a maximum of 75 words, please.
Summary of possible products/services to be offered to Institute members

Invoice details

Please send invoice to the address below if different from that given above. If you need us to quote a purchase order number please also provide this below.

Details of Company Nominees

Please give full details of your five nominees below and indicate who will be the Principal Nominee.

Please note: Additional nominees may be added at a supplement of £50.00 each. Please contact the membership department on 01536 207334 to discuss.

Principal Nominee

Company address (if different from main address above)

Nominee 2

Company address (if different from main address above)

Nominee 3

Company address (if different from main address above)

Nominee 4

Company address (if different from main address above)

Nominee 5

Company address (if different from main address above)

Organisation Undertaking

Data Protection Policy

In submitting this form, you are consenting to receive marketing information about the Institute's products and services by post, phone and email, unless you indicate otherwise by ticking the appropriate box. We recognise your right to withdraw this consent at any time in the future and you will be given the opportunity to do so every time we send you an electronic marketing communication. Do not send me information by:
 


Occasionally, the Institute may share your contact details with organisations that are business partners. If you do not wish to be contacted by these partners, please tick the appropriate box. Do not send me information by:
 


 

Please note

If you click submit you are submitting a valid application for which you will be invoiced at the address supplied in the form.