Membership Application Form
Your Details :
Name:
Address:
Post Code:
Telephone Number:
Mobile:
Email Address:
Work details: Essential for Accredited Members, Fellows and all Members paying reduced rate
as employees of a Corporate Member.
Job title / role:
Employer:
For multi-site organisations your location:
Work tel (just in case we need contact you during working hours):
Work email (always useful as a backup):
All documentation and your Ranger magazine will be sent by email, if you prefer to receive hard
copy by post please tick here 
Please send me a complimentary copy of CJS Professional (monthly, email only) 
Membership category applied for and have enclosed (standard rate / reduced corporate employer rate)

Affiliate Member
Payment of £15 / £12

Member
Payment of £35 / £28

Accredited Member
Payment of £55 / £44 and supporting documentation

Fellow of the Association
Payment of £100 / £80 and supporting documentation
My employer is a corporate member and I am applying for the reduced membership rate 
Your Payment:
I enclose a cheque payable to Countryside Management Association for £
Please invoice us: I enclose a company purchase order: number
I enclose a completed Standing Order form
OR
OR
Supporting documentation, I enclose (please tick):
Accredited Members and Fellows:  Current CV
 Job Description
Fellows only:  References
 Statement of achievements in industry during career
 Supporting evidence
If you're applying for Affiliate Membership please indicate reason:
Volunteer / Student / Unwaged / Retired / not currently working in sector
Please post to: Countryside Management Association, 27 Old Gloucester Street, London, WC1N
3AX
Or by email: scan / photograph this form and send it to: admin@countrysidemanagement.org.uk
Please note membership is for one year from date of receipt.
Data Protection Register number: ZA140903