Scottish Support for Learning Association

Membership Form 2010/2011

N.B. The membership year runs from 1^st September till 31^st August

Mr/Mrs/Miss/Ms First Name……………………………. Surname…………………………………….

Address……………………………………………………………………………………………………..

……………………………………………………………………….. Post Code………………………..

Tel No………………………………………….  E-mail ………………………………………………

Post…………………………………………………………………………..

School/Establishment …………………………………………………………………………..

Council (Employer) ……………………………………………………………………….

Please tick the category of membership you require: 

£25              Individual membership (one set of mailings;  full voting rights)

£50               Full group (schools etc;  2 sets of mailings; 3 people at reduced rates for  conferences;  no voting rights)

£250             Full corporate (e.g. LEA)  Free copyright publications; one nominated person with voting rights

£10               Student/retired membership (for retired members and non-salaried students)

I wish to pay by cheque              direct debit                 invoice 

Please send this form with your subscription to:   Maggie Salmond

                                                                                SSLA Membership Secretary

                                                                                31 Craiglockhart Park

                                                                                Edinburgh

                                                                                EH14 1HB

Please sign here if you agree that your subscription be treated as a for Gift Aid donation

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copyright reserved SSLA (c) 2005 - 2009  Last Updated 11/09/2010    SSLA is a Scottish Charity: no. SC026546