APPLICATION FOR MEMBERSHIP
Membership categories and subscription rates are listed on the following page
Please complete in capitals
Title: ………....Name: ………………………………………………………………………………….
Address: …………………………………………………………………………………………………
…………………………………………………………………………………………………………….
…………………………………………………………………………………………………………….
E-mail address:………………………………………………………………………………………….
Details of your business or profession:
I have / do not have Traditional Herbal Registrations (THRs) – Please delete where inapplicable
…………………………….………………………………………………………………………………
…………………………….………………………………………………………………………………
[Students: please state college and course, and provide proof of student status]
I agree with the objectives of the association:
To defend the right of the public to choose herbal medicines and to be able to obtain them freely.
To promote high standards of quality and safety in herbal medicines.
To advance the science and practice of herbal medicine by modern techniques.
To encourage wider knowledge and recognition of the value of herbal medicine.
To foster research in phytomedicine, exploring the vast potential of medicinal plants.
Signed …………………………………………………….. Date …………………………………….
I wish to apply for the following category of membership and enclose the appropriate annual
subscription of £ ………………
THR COMPANY / OTHER COMPANY / HERBAL PRACTITIONER / RETAILER / INDIVIDUAL / STUDENT
– Please delete where inapplicable
OVERSEAS MEMBERS – please add a further £10.00 sterling for extra mailing costs.
Total Payment: £
Method of Payment
Cheques or International drafts, in favour of “British Herbal Medicine Association”,
should be in £ sterling (GBP) drawn on a UK bank.
If paying by credit card (VISA or MASTERCARD only), please provide the following details
as registered with the card provider:
Cardholder’s Signature………………………………………………………………………
Card Number ………………………………………………. Expiry Date ………………..
Card Security Code........................ [The three-digit number printed on the signature panel of the card]
If the name and/or address given above differ from those registered with the card provider,
please provide the Cardholder’s details below.
Cardholder’s Name ….……………………………………………………………………….
Cardholder’s Address ...…………………………………………………………………….
………………………………………………………………………………………………….
………………………………………………………………………………………………….
Please send your application form and payment to:
BHMA Membership, PO Box 583, Exeter EX1 9GX, United Kingdom
or fax to: + 44 (0) 845 680 1136
BHMA MEMBERSHIP CATEGORIES AND SUBSCRIPTION RATES
ANNUAL
SUBSCRIPTION
MEMBERSHIP CATEGORY
Herbal Practitioner / Retailer (incl. VAT)
Please tick the
appropriate box
£116.00
Individual (incl. VAT)
£74.00
Student (incl. VAT)
£23.00
Company
Company with annual sales
of herbal products
exceeding £2 million
Company with annual sales
of herbal products
between £1 million and £2 million
Company with annual sales
of herbal products
between £500,000 and £1 million
Company with annual sales
of herbal products
between £250,000 and £500,000
Company with annual sales
of herbal products
between £150,000 and £250,000
Company with annual sales
of herbal products
between £75,000 and £150,000
Company with annual sales
of herbal products
not exceeding £75,000
THR holder
VAT
TOTAL
£2,725.00
£545.00
£3,270.00
No THRs
VAT
TOTAL
£2,000.00
£400.00
£2,400.00
THR holder
VAT
TOTAL
£2,200.00
£440.00
£2,640.00
No THRs
VAT
TOTAL
£1,608.33
£321.67
£1,930.00
THR holder
VAT
TOTAL
£1,650.00
£330.00
£1,980.00
No THRs
VAT
TOTAL
£1,208.33
£241.67
£1,450.00
THR holder
VAT
TOTAL
£1,100.00
£220.00
£1,320.00
No THRs
VAT
TOTAL
£800.00
£160.00
£960.00
THR holder
VAT
TOTAL
£658.33
£131.67
£790.00
No THRs
VAT
TOTAL
£483.33
£96.67
£580.00
THR holder
VAT
TOTAL
£500.00
£100.00
£600.00
No THRs
VAT
TOTAL
£366.67
£73.33
£440.00
THR holder
VAT
TOTAL
£358.33
£71.67
£430.00
No THRs
VAT
TOTAL
£266.67
£53.33
£320.00
OVERSEAS MEMBERS - Please add a further £10.00 sterling for extra mailing costs
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