Membership Application Form

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IMPORTANT: Please read before completing the application.

Your application MUST be completed in English - the official language of the ILDS.
Any documents submitted to support your application must also be in English.
Your application may be delayed if this information is not provided.

Please also ensure that you include a different email address for each contact to ensure we have alternative contact details should an email bounce.

Many thanks for your attention to this detail and we look forward to receiving your application and welcoming you to our unique community.

With kind regards
ILDS Membership Team

Organisation Details

Organisation Name

Organisation Name in English (if different)

Type of Membership

When was your organisation officially formed

Tell us about your members

Total number of members in your organisation

Number of organisation members who pay you a membership fee

Contact details for your organisation

Address Line 1

Address Line 2

Address Line 3

City

Postal Code/Zip Code

Region

Country

Country Code

Phone Number

Please provide a generic email address for your organisation below (for example office@ admin@ etc) and not a personal email address as the email address you provide will be displayed in the ILDS Member Directory.

Website

Social media

In order to help us to connect and share information with you through our social media

channels, please provide links to your social media pages (where applicable).

Twitter

Facebook

Instagram

Organisation Liaison Contact Details

All important membership emails are sent to the President and Organisational Liaison for each Member Society. Therefore, the person you nominate as your Organisational Liaison in this section should not be the President of your Society but a different person with a different email address. This will ensure important communications are received by your Society. Many thanks.

Title

Given Name

Family Name

Address Line 1

Address Line 2

Address Line 3

City

Postal Code/Zip Code

Country

Country Code

Phone Number

The Liaison should receive the membership fee invoice

YesNo

Organisation President Contact Details

Title

Given Name

Family Name

The President should receive the membership fee invoice

YesNo

Organisation Treasurer Contact Details

Title

Given Name

Family Name

The Treasurer should receive the membership fee invoice

YesNo

Organisation Vice President Contact Details

Title

Given Name

Family Name

The Vice President should receive the membership fee invoice

YesNo

Organisation Secretary-General Contact Details

Title

Given Name

Family Name

The Secretary-General should receive the membership fee invoice

YesNo

Representative Contact Details

Please complete the details of your Society's nominated person ("Representative") who will represent your Society at ILDS General Meetings in accordance with Clause 9.1 of the ILDS Articles of Association.

Title

Given Name

Family Name

Supporting Documents

As English is the official language of the ILDS, please ensure the documents submitted to support your application are also in English.
Your application may be delayed if this information is not provided correctly.

Organisation Registration Certificate

Name and contact details of board members

Articles of Association

Organisation logo

Your Details

Name of the person submitting this application

I confirm that I have provided the correct information in the requested format.

This membership application form has been completed with the full authority of the officers of the applying organisation.

I have read and understood the Terms and Conditions and the Privacy Policy.

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