Paid Supporter Membership – Learning Disability England

Membership *

Basic Organisation - B1 - £ 995.00

Basic Organisation - B2 - £ 595.00

Basic Organisation - B3 - £ 195.00

Basic Organisation - B4 - £ 50.00

Enhanced Organisation - E1 - £ 2,500.00

Enhanced Organisation - E2 - £ 1,500.00

Enhanced Organisation - E3 - £ 1,000.00

Total Amount

On Behalf Of Organisation

Organisation Name *

Phone (Main) *

Email (Main) *

Street Address *

City *

Postcode *

Country *

County *

Your Details

First Name

Last Name

Email

Phone Number

Street Address

Supplemental Address 1

Supplemental Address 2

City

Postcode

What is the best way to contact you?

Phone
Email
Letters
SMS/Text

Tell us a little bit about yourself (please choose one) *

Your information is safe with us. It will be stored safely, and we will never sell or share your details outside of Learning Disability England, and we will only use your information in relation to your membership.