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Membership form ( Rob )
HQ
2024-10-23T12:00:03+01:00
MEMBERSHIP APPLICATION FORM (1)
Please complete ALL sections of this form IN BLOCK CAPITALS.
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Membership Number:
MEMBERSHIP APPLICATION FORM
Please complete ALL sections of this form IN BLOCK CAPITALS.
Surname:
Title
Select
Mr
Mrs
Miss
Ms
Mx
Dr
Forenames:
Date of Birth
DD slash MM slash YYYY
Telephone number:
Full Home Address:
Address:
Post code:
Full Official Port/Office Address:
Grade:
National Insurance Number:
Work Email address:
Personal Email Address:
Enter Email
Confirm Email
* Please note, your direct debit confirmation will be sent to this email address.
Death Benefit Nominee:
The benefit of £3000 is payable to a nominated person if the fully paid up member’s death occurs during his/her employment. This is available to fully paying members up to the age of 70. If the nominee is under the age of 18, a trustee can be nominated. Please contact HQ if you would like a set of rules with govern these payments
Death Benefit Name:
Relationship to you:
Address:
Telephone number:
Please can you confirm that you hold a UK Bank / Building Society Account and you are the Account Holder?
Yes
No
Please can you confirm that you are the only person required to authorise debits from this Account?
Yes
No
If you are happy to proceed, please click continue
Continue
Cancel
Please note SSL Server Security is present and is TLS1.1 or above.
If you have answered ‘No’ to to the above question, you will need to complete a paper Direct Debit form.
Click here to download
Name of account holder
Bank/building society account number
Branch sort code
Name of Bank
Bank Name
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Reference
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Please confirm your details are correct and that you wish to complete and submit your membership application to the ISU.
(Required)
Yes
No
You will receive your ISU membership confirmation letter via email within 3 working days. This will be sent to your personal email address. If you have not received this information, please contact ISU HQ at 01255 553039 or
[email protected]
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