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Application For Full Or Associate Membership

Full Membership costs £200 per annum and entitles all employees of the organisation to reduced registration fees for courses. Associate Membership is free to any organisation. This gives access to all events and benefits, except for reduced course registration fees.

This form can be used for either kind of membership.

Membership is at the level of an organisation, e.g., a particular company, NHS trust or Social Services Department. Each organisation has a "Main Contact", normally the person who instigates membership, who is the person we contact about administrative details and payment. The Main Contact can nominate up to 4 other people to receive announcements and access to the members only part of the website.

Membership Type

I would like to make this organisation a Full Member of CUHTec for £200 p.a.
I would like to apply for Associate Membership free of charge

Details for Main Contact

Title (Mr, Ms, Dr etc.):
Forename(s):
Surname:
Organization:
Occupation/Job Title/Role:
Address Line 1:
Address Line 2:
City:
County:
Post Code:
Country:
Phone:
Fax:
Email:

Additional contacts

Details of up to 4 other individuals who would like access to the members pages and to receive the newsletter.
NameEmail address