Membership Application Form

Membership currently costs £15 pa. This offers...
• two newsletters per year, covering a broad range of news and information
• a reduced rate for any conferences organised by the organisation
• an email group which carries details of events, new research and relevant papers.
• a members’ area of the AIMH website which will hold further specialised resources.

If you wish to renew your membership you do not need to complete the form below.

Please complete your details on the form below.
Payments can be made by PayPal, standing order, BACS or cheque.

If paying by standing order or cheque please please print out the form and send it, with first payment payable to AIMH, to:
Association For Infant Mental Health (UK), 27 Old Gloucester Street, London WC1N 3AX

If Paying by BACS please print out the form and send it, indicating clearly that you are paying by BACS, to the address given above.

PayPal

Standing order payments
Please print out a copy of the form and when completed send it to your bank. You may be able to set up a Standing order by phone or using internet banking. The information you will need to give is the same.

BACS transfer
Please contact finance at info@aimh.org.uk for details required.

Cheque
Please send a cheque payable to AIMH (UK) to : Association For Infant Mental Health (UK), 27 Old Gloucester Street, London WC1N 3AX
ON the back please could you write New application and the date of your application.

Please print out the form and send it, with first payment payable to AIMH, to:
Association For Infant Mental Health (UK), 27 Old Gloucester Street, London WC1N 3AX

Title:
First name:
Initials:
Surname:
Address:
Postcode:
Work phone:
Home phone:
Profession:
Organisation:
Email:	(E-mail)
Choose a password:
Prefered method of payment:	PayPal Standing order BACS Cheque
Prefered method of contact:	E-mail Letter
Member of Professional Associations:
Qualifications:
Areas of interests: