Membership Registration Form

Rep. Name:
Name of Org:
Contact Address
Email:
Telephone:
Fax:
What membership category are you looking for?
Which of these will be benefit from your involvement?
Local Area NGO Church Community Others
If Other (Specify)
What resources do you have at your school/college at the moment?
When do you want to start your membership?

Note: If possible, please send us a letter of recommendation. Kindly ensure that the recommendation is coming from a recognized citizen or a different organization.

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Please include a registration fee of £50 made payable to:

Institute for Community and Development Studies

International Program Co-ordination
Suite 319, Day Lewis House
324 Bensham Lane
Surrey, CR7 7EQ, UK

Tel: (44) 20 8664 2600
Fax: (44) 20 8664 2656
E-mail: ascec2001@yahoo.co.uk