Organisation Membership

Organisation Membership Application

For 1–10, 11–20, 21–50, >50 staff – with discounts

Section A: Organisation Details

Legal Name of Organisation *

Trading Name (if different)

Organisation Type *

Registration Number *

VAT Number (if applicable)

Physical Address *

Postal Address

Country & Province *

Website

General Email Address *

Section B: Main Contact Person

Full Name *

Job Title / Position *

Department / Unit

Email Address *

Mobile Number *

Office Number

Section C: Staff Profile & Membership Band

Total Number of Personnel (full-time equivalent) *

Select your organisation membership band *

1 – 10 Personnel7.5% Discount

11 – 20 Personnel15% Discount

21 – 50 Personnel20% Discount

More than 50 Personnel30% Discount

Section D: Intended Engagement with IfEDI

Section E: Billing & Finance Details

Finance Contact Person *

Finance Email *

Finance Phone *

Billing Address (if different)

Purchase Order / Reference Number

Preferred Payment Method *

EFT

Card

Other

Section F: Declaration

I, the undersigned, confirm that the information provided is accurate and that our organisation wishes to enrol as an Organisation Member of IfEDI. We acknowledge applicable fees and discount structures and agree to abide by the IfEDI Membership and Ethics Code.

I confirm and accept the above declaration *

Full Name *

Position *

Date *