Home | Our Members | ILDS Membership | Become a Member | Membership Application Form
Step 1 of 9
*These fields are required Please note that this form cannot be saved. You will lose your progress if you navigate away from this page or close your browser
Society Name
Society name in English (if different)
In which month and year was your Society officially formed?
Total number of society members
Number of society members who pay you a membership fee
Street Address
Address Line 2
Address Line 3
Address Line 4
City
Postal Code / Zip Code
Phone Number
Email
Website
Given Name
Family Name
President Email
When will this Officer change?
Treasurer Email
Secretary-General Email
Society Vice President Email
Society Registration Certificate
Name and contact details of board members
Articles of Association
Society logo Upload (png or jpeg)
Name of the person submitting this application
This membership application form has been completed with the full authority of the officers of the applying Society.
I have read and understood the Terms and Conditions and Privacy Policy
