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Affiliate Membership Form

To apply for Affiliate Membership please complete the form below.

You must fill in boxes marked *

Organisation/Group/Project Name *

Name *

Address 1 *

Address 2

Address 3

Town *

County

Postcode *

Phone *

Email *

Membership rate *

Statutory £105

Statutory £200

Voluntary >£4m £215

Voluntary £2-4m £95

Voluntary £200K-2m £75

Voluntary <200K £55

Private £235

Number of carers [help]

Please invoice my organisation at this address *

Additional Help

Number of carers: One of the strengths of Carers UK is the number of carers we are able to be in touch with through our associate members. Please tell us how many carers you are approximately in touch with.

Page Last Modified: 01/09/2008

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