Affiliate membership application form

Your Details

The person setting up this subscription will be nominated as the group admin for your organisation. Once your subscription is active you will be able to add colleagues as group members

Email* Invalid Email

Password* Invalid Password

Password Confirmation* Password Confirmation Doesn't Match

First Name:* First Name Required

Last Name:* Last Name Required

Role/Position Role/Position is not valid

Contact phone number Contact phone number is not valid

Organisation Details
We will use public information about your organisation to list or promote your services on your behalf on our website or by other means.
Organisation Details
We will use public information about your organisation to list or promote your services on your behalf on our website or by other means. is not valid

Organisation Name * Organisation Name is Required

Website * Website is Required

Main office address * Main office address is Required

Address Line 2 Address Line 2 is not valid

City * City is Required

Postcode * Postcode is Required

Main office email Main office email is not valid

Public phone number * Public phone number is Required

Brief description of the advice you give and geographical region served (for your search listing) * Brief description of the advice you give and geographical region served (for your search listing) is Required

Membership Criteria

Membership Criteria
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This organisation is a non-statutory, not for profit organisation whose main work involves the provision of legal advice*

This organisation provides free advice, information and/or legal services*

I confirm that this organisation agrees to abide by the terms and conditions of the constitution of ACFA*

Equal Opportunities / Diversity Policy *
Equal Opportunities / Diversity Policy is Required

This organisation has a Equal Opportunities / Diversity Policy which reflects current legislation OR is working towards one

Payment Information
You can select a payment method below. We recommend paying by card or direct debit as this reduces the admin time required for your ongoing membership.
You will receive an invoice by email, regardless of the payment option you choose

Purchase order number (if required)
Payment Information
You can select a payment method below. We recommend paying by card or direct debit as this reduces the admin time required for your ongoing membership.
You will receive an invoice by email, regardless of the payment option you choose

Purchase order number (if required) is not valid

Price:

£250 / Year

Have a coupon?

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Select Payment Method

Pay by card or direct debit Pay by invoice

Name on the card:* Name on the card is required.

Card details including number, expiry date, CVV number - and postcode if paying by debit card:*

We would recommend paying by card or direct debit as this avoids you having to re-subscribe each year and reduces the admin time required for the membership. If you cannot pay by card and choose the invoice option, an invoice will be emailed to you with directions on how to complete the payment.

How we deal with your personal information

We will use the information you have given to provide member services, to maintain our records and to enable statistical analysis. You will be opted in to our membership Mailchimp mailing list which is our main way of communicating with you (never, ever shared). There will be an opportunity to opt out of this later in the process. For more information, please see our privacy policy.

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