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SIU Membership Application

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NOTICE:
Please use capital letters and ensure that you provide all the required information. You must check the information before submitting it. We must stress that it is crucial that you complete this application correctly. Incorrect completion of this form may lead to your membership application being delayed or rejected.

SIU MEMBERSHIP APPLICATION

Your Name (required)

Your Surname (required)

Select your gender (required)
 Male Female

Date of Birth, DD/MM/YYYY format only. (required)

Occupation (required)

Employer (required)

Contact Number (required)

e-mail (required)

Please Type your e-mail again (required)

Address Line1 (required)

Address Line2

Town/City (required)

Please select your County (required)

Please select your Country (required)

Postcode - Please provide this in correct format i.e. E8 5UB, NN10 1AB (required)

Please select the membership you are applying for (required)

Please select the payment method for your membership (required)

Are you the payment account holder? (required)

Has the account holder fully authorised you to make and set up the payments? (required)

Where did you hear about us?

If you have been referred by an existing member, please enter his/her full name.

Your feedback for SIU

Do you have a code that has been given by an existing SIU member? Please enter the code below:

YOU MUST READ THE FOLLOWING NOTICE
1) When you submit this form, you will receive a confirmation email from us. Sometimes, depending on your email provider, our email may get caught by spam filters. If you cannot see our email in the inbox, check the spam/junk mail. Please ensure to add @the-siu.org.uk domain as a safe sender, so you can receive our email without any problem in the future.

2) Press ''Send my application'' button only once and allow up to 30 seconds for confirmation of acceptance of your application to appear on your screen. You will also receive an automated email as a receipt for your application.

3) ''Submit my application'' button shall only be activated if you accept the Disclaimers and Terms & Conditions by ticking the individual boxes.

I certify that, all information provided in my application is true and correct to the best of my knowledge.

I accept that I will be charged on a recurring basis as per my selected membership subscription until I cancel in writing.

I accept that SIU member benefits are discretionary and I will only be eligible for member benefits under my selected membership category.

I understand that my personalised membership card will be delivered to my address within 14 days and in the interim I can access to SIU member benefits as normal. I have viewed SIU Member Benefits Access Guide.

I understand that for non-urgent enquires I should call 0845 901 1451 ask for a call back or create a ticket on SIU website by clicking SIU Member Support, or e-mail at contact@the-siu.org.uk, or call 07960 219439 for urgent assistance, or call pager on 07623 984335 for emergency assistance and leave a brief description to the operator.

I have read and accepted SIU Terms & Conditions and Privacy Policy and Member Conduct.

END OF THIS FORM

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