For a joint membership (one address, one posting) the cost is £22.00
Just print this page, fill in your details, and
post it with your cheque to the address at the bottom (if you have
any difficulty with printing, open a printable PDF file here)
Title
Forename(s)
Surname
Your name:
Partner's
name:
(For joint membership)
Address: (if changed)
Post Code:
Email:
Telephone: (if changed)
(Day)
(Evening)
Student No.
(If a current Birkbeck student)
Your details may be passed to the
Birkbeck Students' Union in order that ULEMHAS may continue
to benefit from affiliation. ULEMHAS and the Students' Union
abide by the Data Protection Act and your details will not be passed on
to any other organisation.
I wish to renew my membership;
I enclose a cheque for £15.00 made out to ULEMHAS
(Tick one)
We wish to renew our membership; we enclose a cheque for £22.00 made out to ULEMHAS
Signed:
Date:
Send to: Lois Garnier
Membership Secretary, ULEMHAS