Membership Application Form
1) Organisation/Company Details
Company/Organisation name:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Phone Number:
Website:
2) Contact Details
Name:
First Name
Last Name
Job Title:
Email:
example@example.com
Phone Number:
3) Organisation/Company Description
Please give a brief description of your organisation / company, activities undertaken and your interest in sustainable transport:
4) Membership Categories and Fees:
(please tick one category only) Please do not enclose payment at this stage. You will be invoiced once your application has been approved.
Public Sector
£250 -- Public Bodies (other than Local Authorities)
£750 -- Local Authorities with a population less than 175,000
£2,000 -- Local Authorities with a population of 175,000 – 500,000
Private Sector
£50 -- Sole traders
£100 -- Companies with turnover less than £500,000
£500 -- Companies with turnover £500,000 - £10m
£750 -- Companies with turnover £10m - £50m
£1000 -- Companies with turnover £50m - £100m
£2000 -- Companies with turnover £100m and over
Voluntary Sector
£30 -- Unstaffed / voluntarily staffed organisations
£60 -- Organisations with less than 10 paid staff
£250 -- Organisations with 10 – 250 staff
£600 -- Organisations with over 250 staff
Submit
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