Membership

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Corporate Membership online application form
Name of individual nominated to receive the hard copy of the monthly newsletter:
Position held:
Project/Service:
Address:
Postcode:
Borough:
Switchboard number:
Personal line number:
Fax:
Organisation email:
Individual email:
Are you part of a larger organisation (i.e. more than one site/ one project)?	No Yes
Is your site the headquarters of your organisation?	No Yes
Name of main organisation:
Is it:	Statutory Voluntary Private
Names and emails of other Newsletter recipients (e.g. Joe Smith, joe@smith.co.uk):
Please indicate the membership category that applies to your organisation:	Turnover less than <£100,000 (£100) Turnover £100,001 - £250,000 (£200) Turnover £250,001 - £1 Million (£400) Turnover £1 Million - £5 Million (£550) Turnover £5 Million - £10 Million (£750) Turnover above > £10 Million (£950)
How many members of staff are employed at your organisation?:
	An invoice will be sent to the address supplied.

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