Application Form

To apply for membership please complete the Membership Application Form 2012

When you have completed the form, please send it, together with your payment to:

Sally Dewsbury
Membership Administrator
UKCPA
1st Floor, Publicity House
59 Long Street
Wigston
Leicester LE18 2AJ

If you wish to pay by Direct Debit, you can download and print a Direct Debit form by downloading:  BACS Direct Debit Mandate. (Please note: Faxed and scanned copies of the mandate cannot be accepted. We must receive the original mandate via postal service.)