MEMBERSHIP APPLICATION FORM

(* = required field, but please complete all relevant fields)

* Surname:
Other:
* Forename(s):
Address: Number/Name, Road):
Town/City:
:
Postcode/ZIP:
:
Tel:
* Your email address:
Partner's name:
Company or companies for which you worked (select):
.. and/or other company:
Approximate start/end dates working for any qualifying company:
Your main work base (select):
.. and/or other base:
Department(s) in which you worked:
Please tell us how you heard about ARTS:

It is ARTS policy to list the names, department and base of new members on the ARTS web site. If you DO NOT wish to be included, please indicate:

ONLY COMPLETE THE SECTION BELOW IF YOUR APPLICATION TO JOIN HAS ALREADY BEEN APPROVED
Annual Membership fee 1 April to 31 March is £19.00.
PLEASE TICK I confirm that I will immediately effect a Bank Transfer, for the appropriate amount, payable to:

Please include reference 'Membership' plus your name. Your membership is not effective until the Bank Transfer is complete.




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Thank you!

Data Protection: The details you supply on this form will be stored on a computer and used for administrative purposes only.