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 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
Address Line 2
Address Line 3
Address Line 4
Postal Code / Zip Code
When will this Officer change?
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.