Membership Application Form

Surname: First Name(s):
Maiden Name: Year Grad. & Degree:
Town: Post Code:
Email Address: Tel no. (Mobile):
Tel No. (Home): Tel no. (Work):
LinkedIn? Twitter?

If you would like to join us please email the above information to

If you are already a member and any of the information we hold in the membership book is wrong, please email correct details to