Application for SEDA Membership 2016
Your details
Title:
Forename:
Surname:
Job Title:
Institution/Organisation:
Postal address:
Post code:
Tel:
Email:
Membership Categories
See Membership Benefits table on SEDA website for details of membership entitlements



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Individual £115
£
Institutional HE £1195
£
Institutional FE £655
Institutional Associate £75
£
Institutional members may apply for associate membership for any number of individuals at a rate of £72 per
person. They will receive their mailings via the institutional contact in individually named envelopes so they can
be put into the internal mail system. Many institutional members find this a particularly valuable way of keeping
departments, faculties and individuals with staff development responsibilities informed of SEDA events and
activities.
Please use the space below to provide names of associate members being enrolled as part of Institutional
Membership. Applications for new institutional associate members must be authorised by the main
contact for institutional membership.
Name:
Department:
Site/Campus:
£
£
£

Total Associate Membership Fee £
Associate Fellowship £32 (PLUS either Individual Membership fee of
£115 or Institutional Associate Membership fee of £75)
Associate Fellowship of SEDA (AFSEDA) is designed for SEDA members (individual or associate)
who have some involvement in academic development. This might include people in roles such as
early career academic developers, departmental learning and teaching co-ordinators, and others
such as learning support staff and those involved in substantial projects or change initiatives. It is a
developmental stage on the path towards achieving the Fellowship of SEDA.

£
Partner Institution £156
Institutional members may apply for Partner Institution membership for any number of affiliated or associated
colleges. Partner Institutions will receive their mailings direct.
Please use the space below to provide the names and contact details of the colleges being enrolled as partner
institutions.
Name of institution:
Contact name:
Address:
Email:
Tel:
£
Name of institution:
Contact name:
Address:
Email:
Tel:
£
Total Partner Institution Fee £
Total Fee Due: £
Payment Options
Payment must be in UK pounds sterling and can be made either by:


Cheque made payable to ‘SEDA’ and drawn on a UK bank
Invoice (include an official purchase order:…………………………………….)
Invoice Address:
 Credit card by completing the form below
I wish to pay by Credit Card. Please debit my Switch/Visa/MasterCard/Delta* account
number (*delete where applicable).
Cardholder’s Name:
Cardholder’s Address:
Card Expiry Date:
3 Digit Security Code:
Please return form to:
SEDA, Woburn House, 20 – 24 Tavistock Square, London WC1H 9HF
Tel: +44 (0) 20 7380 6767 Fax: +44 (0) 20 7387 2655
email:office@seda.ac.uk www.seda.ac.uk
A company limited by guarantee and registered in England, no. 3709481
Registered as a charity in England and Wales, no. 1089537