AP127 Membership Grades Application

1. Introduction
Which membership are you applying for? *

Student Membership Associate Company Membership
2. Applicant Information
Title *
Forename *
Surname *

Address *

E-mail
Mobile Number
Telephone Number *
Invoice E-mail *
4. Payment
There is an Annual fee of £495 + VAT. Our Accounts team will contact you for inital payment all annual renewal fee's will be invoiced.
5. Are You Eligible For Student Membership
Individuals enrolled in full-time or part-time study at a college, university, or other educational institutions are eligible for Student Membership with proof of status.

Please upload proof of your student status below.
University
Course Name
Degree End Date

Day Month Year
Date
Any proof of Student Status

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6. Terms & Conditions
By completing and submitting this document I declare that all the information provided is accurate and truthful.

Elmhurst Energy reserve the right to revoke the membership should any of the members be in breach of best standards, practice and professional behaviour.

GDPR

By completing and submitting this form you are happy to receive information from Elmhurst Energy which includes training information, news and updates related to your membership. Remember you can unsubscribe to communications sent by Elmhurst at any time.
I confirm that I have discussed this application with the bill payer who has agreed to pay all charges. *
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1. Introduction