Make a Difference Challenge - Annual Licence
If you have any problems completing this form, or would prefer to pay via invoice, please contact
info@youngcitizens.org
School/Organisation Details
School or Organisation Name
Postcode
Lead Teacher Details
(This is the person we will use as your key contact.)
First Name
Last Name
Job Title
Email Address
This is the email that will be linked to your main account. Please give your personal email address Your annual licence allows up to 3 teachers per organisation to access the training and resources package. If you know the names of the other 2 teachers who will use the resources alongside you please, email info@youngcitizens.org.
How did you hear about the programme?
Please select...
Emailed directly
Recommendation by a colleague/third party
The Young Citizens website
Search engine
Social media
Payment
You will be charged:
Annual Fee:
Please note that your annual fee will be due once a year on this date. We will contact you in advance to initiate your re-subscription (please see Terms of Use for more information.)
Name on Card
MM
YY
Code
Card Number
Billing Email
Please check this box if you would like to receive information about other programmes resources and news from Young Citizens
Please check this box to confirm you have read and understood the
Terms of use
and
privacy policy
Paypal_Hidden_Fields
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Contact Information
Young Citizens Registered Office: 37 Heneage Street, London, E1 5LJ