Apply for Plunkett UK membership

Membership Package

Please select your membership type from the options below:

£20 - I am an individual and wish to join as a Supporter Member£240 (inc VAT) - I wish to join as an annual Supporter Member on behalf of an organisation£240 (inc VAT) - We are a community business and would like to join as a Community Business Member

Your Details

First Name:

Surname:

Organisation Name:

Street Address:

City/Town:

County:

Country

Postcode:

Phone Number:

Email Address:

Declaration

I/we share the Plunkett UK's values and wish to support its work

In the unlikely event of the dissolution of Plunkett UK, members may be liable to contribute up to £5. Please tick the box below to confirm you have understood this.

I/we agree that in the event of the dissolution of Plunkett UK I/we will be liable for up to £5

Signature

This information you have provided as part of your membership application will be stored by Plunkett UK in compliance with GDPR and will not be shared with third party membership suppliers. Should you have any questions about how your data is managed or would like to stipulate restricted use please contact membership@plunkett.co.uk. Please click here to read the Privacy Policy.

Please type your full name here:

Date:

Please tell us how you heard about membership:

If you were referred by another Plunkett member, please enter their membership number or name here (if it was a community business, please enter the business name):

Payment Information

How would you like to pay for your membership?

Credit or Debit cardDirect Debit

You will be redirected to our Direct Debit provider after submitting this form to provide your payment details.

Please note that your membership is not active until the Direct Debit has been set up and confirmed.

You will be redirected to PayPal after submitting this form. From here you will be able to pay via credit or debit card without a PayPal account.

Please note that your membership will not be renewed until payment has been made.

Amount Due:

Once approved, you will receive confirmation of your membership along with payment details.

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