Apply to join

Please complete and submit this application form indicating the class of membership you are applying for. Your application will be then be submitted to the APA Executive Board for consideration.

Application form

All fields are required

Membership type (select from drop-down - annual fee in brackets)

Your title

 Mr Ms Dr Prof Other

First Name(s)

Surname

Job Title

Your Email

Your Telephone Number

Your Mobile Number

Your website

Organisation Name

Organisation Address

Invoice contact details if different from the above

Are you a legally authorised representative of your organisation?

 Yes No

Brief description of your organisation’s activities:

Please enter the characters into the text box below.
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1. A letter confirming you are a legally authorised representative of your organisation
2. A copy of the latest report and accounts for your organisation
Please send the above documents either as a pdf to: office@alliancepermanentaccess.org or by post to the UK administration office at the following address:
UK Office
The Office Manager
Alliance Permanent Access
2 High Street
Yetminster
Dorset DT9 6LF
Tel: +44 (0)1935 872660