Public Fundraising Regulatory Association

* = Required field

• *Full name of applicant organisation

* Membership category applied for

• Full - user £100 annual membership plus a 75p levy on each donor recruited Full - provider £250 annual membership Associate £50 annual membership

• Your purchase order or reference number (if you have one)

All Membership applications are subject to ratification by PFRA Executive Board. The PFRA membership year runs April - March. An organisation joining for the first time after Jan 1st in any given year may enjoy 15 months membership for the price of 12.

• * Main contact name
• * Main contact job title
• * Main contact telephone
• * Main contact email

Note - the main contact is the person who will be the 'account manager' for PFRA business at your organisation - the first port of call for the PFRA in contacting you.

• Address
• Website
• Fax

Data Protection
The PFRA would like to be able to publish the names of all its members. This will be through a variety of ways - one of which would be on our website (with a link to your website if you have one). Another would be via a membership list which would be made available to third parties and other members. To enable the PFRA to conform to the 1998 Data Protection Act, please sign the statement below. The PFRA will not be able to list you as a member organisation on the website or on any lists if you do not tick the box.

• As a member of the Public Fundraising Regulatory Association (PFRA), we agree to the PFRA promoting our name as a member organisation (by list or on the web)

• Name of person completing this form
• Name of person to whom invoice should be sent (if different from above)
• Date