Membership Application Form

Organisation Details

Organisation Name

Organisation name in English (if different)

Type of Membership

Member Society (Your organisation represents members from one country.)

Affiliated Member Society (Your organisation represents members from multiple countries.)

Observer Member Society (Your organisation has been established for less than 4 years.)

In which month and year was your organisation officially formed?

Tell us about your members

Total number of members in your organisation

Number of organisation members who pay you a membership fee

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Organisation Contact Details

Address Line 1

Address Line 2

Address Line 3

City

Postal Code / Zip Code

Country

Phone Number

Email

Website

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Organisation Liaison Contact Details

Title

Given Name

Family Name

Address Line 1

Address Line 2

Address Line 3

City

Postal Code / Zip Code

Country

Phone Number

Email

The Liaison should receive the membership fee invoice.

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Organisation President Contact Details

Title

Given Name

Family Name

Email

When will this Officer change?

The President should receive the membership fee invoice

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Organisation Treasurer Contact Details

Title

Given Name

Family Name

Email

When will this Officer change?

The Treasurer should receive the membership fee invoice

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Organisation Secretary-General Contact Details

Add a Secretary-General

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Organisation Vice President Contact Details

Add a Vice-President

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Additional Organisation Liaison Contact Details

Add another Liaison

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.

Supporting Documents

Organisation Registration Certificate

Name and contact details of board members

Articles of Association

Organisation logo

Only jpeg or png files accepted.

Your Details

Name of the person submitting this application

This membership application form has been completed with the full authority of the officers of the applying organisation.

I have read and understood the Terms and Conditions and Privacy Policy.

*These fields are required.

For your records, a copy of the details submitted in this form will be sent, by email, to the named Liaison contact person.