Membership Application Form 2012/13

Membership of AYPH

AYPH was set up in 2008 as a membership organisation for all professionals and organisations working in the field of young people’s health. Membership fees help the Association to increase the benefits of membership and strengthen our work on behalf of young people.It is really important for membership to be as accessible as possible and with this in mind we keep our membership rates as low as possible. Membership is for a full calendar year.

What are the benefits of being a member?

A list of current member benefits is set out in the table below. We work on an ongoing basis to develop new member benefits to respond to our members needs.

Organisational members
  • 2 free copies of Key Data on Adolescence 2011 worth £59
  • Monthly members newsletter with events, training, and other opportunities
  • A quarterly research update with new data and research in the young people’s health field
  • Access to the members’ area of our site providing a range of resources and the opportunity to network with AYPH members from across the UK.
  • Discounts and priority booking at AYPH events[1]
  • Publicity for your organisations work through the AYPH website and newsletter
  • The opportunity to influence young people's health nationally and be involved in the development of policy.

Individual members
  • 1 free copy of Key Data on Adolescence 2011 worth £29.50
  • Monthly members newsletter with events, training, and other opportunities
  • A quarterly research update with new data and research in the young people’s health field
  • Access to the member’s area of our site providing a range of resources and the opportunity to network with AYPH members from across the UK.
  • Discounts and priority booking at AYPH events
  • The opportunity to influence young people's health nationally and be involved in the development of policy.

For more information

If you have any questions about the benefits of membership or anything else please contact us via our website or email

Application Form 2012/13

Please complete and email to or post to AYPH, CAN Mezzanine, 32-36 Loman Street, London, SE1 0EH

I would like to join AYPH as an organisational / individual member – please delete as appropriate.

A: YOUR CONTACT DETAILS
Title / Job Title
First Name / Organisation
Last Name / Website
Address
Post Code
Telephone / Email
B: ORGANISATIONAL MEMBERS ONLY(Individual members go to section C)
If you are joining as an organisational member please list below other members of staff who would like to be on our email contact list (Continue on a separate sheet if necessary)
Name / Email
Name / Email
Name / Email
Name / Email
Organisations joining AYPH must be registered legal entities. Please provide details.
I confirm that my organisation is a legal entity YES / NO (Delete as appropriate)
My organisation is a : / Registered Charity / Government body
Company Limited by Guarantee / Private registered company
Other: Please detail
C: YOUR MEMBERSHIP FEE(please tick the appropriate box)
Organisational member / Individual member
Full rate / £175 / Full rate / £45
Concessions
For voluntary organisations with less than £100,000 annual income. / £85 / Concessions
For individual retired, individual students. / £25
D: PAYMENT
By Cheque:
A cheque for £...... is enclosed
Please make cheques payable to Association for Young People’s Health Ltd / By Invoice:
Please send an invoice to:
Name:
Address:
Purchase order no. if applicable: / By BACS:
Bank: HSBC.
Sort Code: 40-06-03
Account No: 41488449
Please send your BACS remittance form as confirmation of payment
Your BACS Reference:
E: YOUR WORK AND AREAS OF INTEREST
Please give us some detail about your work and your areas of interest so that we can best meet your needs.
The main focus of my / our work is:
I am particularly interested in the following elements of the Association’s work:
I am/ My organisation is committed to the aims of the Association for Young People’s Health and will work where possible to support multi-disciplinary training, support improvements in young people’s health services, share information about my /our work through the Association and support research into the health of young people.
Signed:
Date:

[1]For staff and individual professional association members