London Hazards Centre affiliation form

Membership | Home page

Membership (Affiliation) Form
Complete this form if you want to affiliate to the London Hazards Centre as a member. Either fill it in, then print it out and return it to us with a cheque, or submit it from this web page, in which case we will issue an invoice.

*Sector*
	Tenants'/residents' associations, community and unfunded groups	£15
	Trades councils, tenants' federations, advice and resource centres, law centres, community health councils and similar	£25
Trade union workplaces/branches:
	up to 500 members	£25
	more than 500 members	£50
	Regional trade union or voluntary bodies	£80
	National trade union or voluntary bodies	£110

Number of copies of mailing
up to 5 copies free
over 5 copies, £1 per copy (eg, for 15 copies, first 5 are free; add £10 to membership fee)
over 100 copies, 60p per copy

Organisation, group or body

Contact name

Daytime telephone

Email

Address

A. Either

I have printed this form and enclose a cheque for payment

I enclose a cheque for
All payments must be in sterling. Make cheques payable to 'London Hazards Centre Trust Ltd'.
Please return this form to London Hazards Centre, 213 Haverstock Hill, London NW3 4QP.

B. Or

I am submitting this form via the web, please send me an invoice

Invoice address (check this box if invoice address is same as postal address)

Top of page