ࡱ> q` 0@bjbjqPqP ::vLLLLD$@@@@Lb@,X2AAAAAJJJ X"X"X"X"X"X"X$Yh;\FXK9HJKKFXLLAA[XKKKK(LAA XKK XKKhPh6QAA W@KPQqX0XP4\K\ Q\QJ>[J,KJ$JJJJFXFXKJJJXKKKK'=D=L$p6LLLLLL Membership Application Individual I want to join BILD as (tick one): BILD learner associate member - 10 I am registered with BILD to study for a qualification such as LDAF Personal member - 20 I am a student, I am unwaged, I have a learning disability or I am caring for a family member who has a learning disability Professional member - 47 I want to enjoy the benefits of BILD membership for myself Full NameAddress PostcodeE-mailTelephone I enclose a cheque for payable to BILD ( I would like to pay by direct debit I have completed the mandate overleaf ( I authorise you to charge my credit or debit card ( It is: Mastercard/American Express/Access/Eurocard/Visa/Switch The card number is: The expiry date is: / The last three digits on the signature strip on back of card are: Personal and professional members only You will receive a regular copy of British Journal of Learning Disabilities unless you circle an alternative from the list below Good Autism Practice / SLD Experience / Current Awareness Service / Learning Disability Bulletin Journal of Applied Research in Intellectual Disabilities / British Journal of Learning Disabilities online Journal of Applied Research in Intellectual Disabilities online Organisation I want to join BILD as (tick one): Small voluntary group member - 20 We are a small voluntary group with up to 5 staff Bronze member - 142 We are an organisation with up to 30 staff or a school or college with up to 100 students Silver member - 225 We are an organisation with up to 100 staff or a school or college with over 100 students Gold member - 550 We are an organisation with over 100 staff OrganisationContact NameAddress PostcodeE-mailTelephone I enclose a cheque for payable to BILD Please invoice me (quote purchase order number: ) I would like to pay by direct debit I have completed the mandate overleaf Voluntary group members are entitled to 1 free journal, bronze members to 4 free journals, silver members to 6 and gold members to 10. 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