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Membership Application 2023/24 for Individuals Online Form
Young Solutions Membership for Individuals
Thank you for your interest in becoming a member of Young Solutions. Your data will be used by us for the purposes of your membership of Young Solutions. We will not share your information with relevant people/organisations unless you give us permission and you can request to be removed from our database at any time. Please notify us of any changes so we can keep your information up to date.
1. Individual Contact Details
Name
*
Email
*
Telephone Number
*
Contact Address and Postcode
*
2. About You
In which sector and field is your current or previous role?
*
What organisation do you work/volunteer for? (if applicable)
How do you support or work with young people?
*
Senior Manager/Trustee/Director
Practitioner (eg Youth Worker/Teacher/Volunteer/Parent)
Coordinator/Administrator
Consultant to the voluntary sector
Young person
Other
If you chose 'Other', please give more information
Why do you want to be an individual member? (tick all that apply)
Support Young Solutions
Receive e-bulletins & newsletters to keep up to date
Access advice & support
Discounted training
Other
If you chose 'Other', please give more information
3. Payment
The membership fee for individuals is £20. Please make payment to Young Solutions by BACS. Contact us on 01905 795098 or at office@youngsolutions.org.uk if any problems or for more information.
Are you paying by?
*
BACS Payment (preferred method of payment)
Debit or credit card (go to www.youngsolutions.org.uk/about-us/card-payments)
Cheque Payment: Young Solutions Worcestershire
Do you require an invoice?
*
Yes
No
Do you require a receipt?
*
Yes
No
Payment Instructions
BACS - Unity Trust Bank, Account No: 20366614, Sort Code: 60 83 01, Ref: MembFee+Surname Cheque - make payable to Young Solutions Worcestershire, and post to Severn House, 32 Ombersley Street West, Droitwich, WR9 8QZ.
4. Declaration
I confirm that the information provided is correct and by submitting this form, I would like to be considered for membership of Young Solutions. I agree to act by the values of Young Solutions and to support the organisation.
Verification
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