Membership Application Form

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Applicant

Title:
Forename:*
Surname:*

Obligations of Membership

Please tick the box to confirm that you endorse the following statement:

I wish to become a member of MEI and thereby to support its work to advance the education of the public in the field of mathematics and to promote links between education and industry in mathematics.

Payment

If you choose to pay by card you will be emailed a link to make a secure online payment once membership is processed. Alternatively, you may pay by personal cheque or by having an invoice sent to your school/college. Please provide a Purchase Order Number where applicable. If you are an ITT Scholar, select a Payment Type of None and enter your code in the box below.

Payment Type* Purchase Order No: ITT Code:

Further information about how to make your payment will be provided both on screen and in a confirmation email after you submit this form.

Home Address

Address 1:
Address 2:
Address 3:
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Postcode:
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Phone:
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Personal Email:

School/College

If your Payment Type is Invoice please provide a postal address for your school/college.

Your Role:
School/College Name:
Address 1:
Address 2:
Address 3:
Town/City:
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Postcode:
Country (if not UK):
Phone:
General Enquiries Email:
Website:
Exam Centre No:
Taught:                Additional Mathematics  Foundations of Advanced Mathematics 
Specifications:  GCSE Maths GCE Maths GCE Further Maths

Renewal

Please indicate here whether you are renewing your Membership. If you have received a reminder email from MEI, enter the Identifier you were sent. If you haven't received such an email, enter the Password you received when you first became a Member. If you don't have that, just type 'Renewal':

Further Information

Is there anything else you'd like MEI to know?


Preferred Postal Address*                                                             

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