Wednesday August 20 2008

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Membership

Personal Details
Title	MrMrsMsMissOther
If other please state
Forename
Middle name
Surname
Are you a member of the CIPD? Please state your grade	FellowMemberGraduateAssociateStudentNA
How did you hear about LHRC?	Current MemberPrevious MemberWebRecommendationMailingCIPD Central London BranchGrapevine
If recommended please state by whom
Contact Details
Business / organisation name
May we list your organisation's name on our website and/or in our promotional material? (uncheck if you do not agree to this)
Address
Postcode
Daytime phone
Mobile phone
Email
Is your company?	Private SectorPublic SectorCharity, Not For Profit
What is your position or title within your company?
Are you self employed	NoHR ConsultantHR InterimTrainerOther
Payment Details
Please tick appropriate box for different types of membership available:
Individual membership @ £135 plus VAT (non transferable)
Corporate membership @ £300 plus VAT (Unlimited people can be members but only two can attend any one event)
If you have a discount code, enter here
Do you require VAT receipt?	YesNo
Do you reclaim your membership fee from your company?	YesNo
(By supplying this information you are giving consent for the information supplied to be included in computerised and manual membership records held on you. If you decide not to continue with your membership, your information will be retained for a period of time afterwards. You have a right to ask for a copy of the information held by us in our records. The information collated on this form is for membership purposes of LHRC only and will not be disclosed to any third party).
I agree