| ITPA Membership RENEWAL Application Form - EXISTING members only. |
| Please complete all fields & select appropriate options, then print, delete as appropriate, sign, and post/ fax this form to:
The Registrar, ITPA, PO Box 1508, St Helier, Jersey, JE4 2YE Fax:+44 1534 855488
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- Full membership - I agree to pay £380, being my annual subscription. Please send me details of your meetings in Monte-Carlo/Zurich*.
- Library membership - I agree to pay £120, being my annual subscription.
- Student membership - I agree to pay £110, being my annual subscription. I enclose/fax* evidence of my continuing Student/Trainee* status.
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| Signature: |
Date: |
| *Delete
as appropriate
[Back] |
itpaweb/renew/27nov08 |