BSG membership application

Business Supporters Group Membership Application

Unique ID

Organisation applying for membership

Name of organisation

Address

Street Address Address Line 2 Town/City Post Code

Lead contact

Name

First Last

Job title

Enter Email Confirm Email

Phone

Secondary contacts

Name

Job Title

Email address

Please list colleagues who would also like to receive BSG membership mailings from us.

Terms and conditions

By applying for membership you agree that:

You are applying on behalf of your organisation/authority and not in a personal capacity and you have the authorisation to do so.

You agree that NEA can refer to your company/authority as an NEA member, and may use the company/authority logo on the members pages of the NEA website.

Your organisation/authority supports the objectives of NEA.

Members should behave in a way which maintains the professional standards associated with the membership of NEA as a national charity.

Membership of NEA does not provide an endorsement of technical or other standards and should not imply that it does.

Members may only use or reproduce NEA’s logo with the written permission from the organisation.

Reference to membership may be included on letterheads used for individual correspondence.

Confirmation(Required)

I agree to the terms and conditions outlines above

Membership fee and invoicing

Please select the membership tier you are applying form.

Membership fees

Tier 1 – £5,500

Tier 2 – £3,250

Tier 3 – £2,500

Tier 4* – £1,000

Northern Ireland only – £3,250

Address for invoice

Tick if same as above

Invoice to

Street Address Address Line 2 Town/City Post Code

Email address for invoice

Enter Email Confirm Email

Purchase order number

VAT @ 20%

Price: £ 0.00

Total