Organisation Membership Form

Please print and complete this form and post or email it to the membership secretary (details below).

Organisation:_________________________________________

We wish to become a member organisation of the AIA: ______

Or: We wish to renew our organisation’s membership of AIA: ______

(Membership is subject to the approval of the AIA board of directors).

Address:____________________________________________

__________________________________________________

___________________________ Postcode: ________________

Country: ____________________________________________

Email Address: ________________________________________

Telephone number: _____________________________________

Mobile number: ________________________________________

AIA will retain the personal information provided on this form as long as you remain a subscriber. We will update it whenever we hear from you that changes are needed. Unless you give us permission, we can do nothing other than keep it safe.

Please tick to let us know that we have your permission to contact you:

[   ] By email regarding membership matters (e.g. annual renewal)

[   ] By post regarding membership matters (e.g. annual renewal)

[   ] By email to send the Animal Spirit newsletter

Please tick:

Membership £50.00 ___________                   

We would like to make a donation of £ _________________________


Payment Methods

Cheque: please make cheques payable to ‘The Animal Interfaith Alliance’ and send it with this form to the AIA Membership Secretary, 19 Sudeley Grove, Hardwick, Cambridge, CB23 7XS.

Bank Transfer: please make bank transfers to The Animal Interfaith Alliance, Triodos Bank, Sort code: 16-58-10 Account number: 20530234.

Standing Order: please set up a Standing Order with your bank to The Animal Interfaith Alliance, Triodos Bank, Sort code: 16-58-10 Account number: 20530234.

PayPal or Debit/Credit Card: please pay online by PayPal or by debit or credit card here:

Signature: ___________________________ Date: ___________

Capacity within organisation (e.g. Treasurer/Secretary) _______________

PLEASE RETURN THIS FORM TO The Membership Secretary: Sheila Thomas, 19 Sudeley Grove, Hardwick, Cambridge, CB23 7XS (or email to sheila@sheilamthomas.com).


Registered not-for-profit company number: 8958588

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