LCLL member form sep t2014

Page 1

LCLL Membership Application Name:

Date of birth:

Professional role eg. Headteacher: Name and address of Organisation:

School type (Community, Independent, Special etc.) School Phase (Primary, Secondary etc.) Local Authority Work Email Work Phone

Work Fax

Home Address (Optional)

Home Email Home Phone

Mobile Phone Number

For subscription and payment details - please turn over

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Payments Membership categories

Fees

Individual

£90 £105

LCLL programme participant

£50 £50

Learning Organisation Eg, Children’s Centre, Nursery, Primary School, Secondary School, College, HEI, Local Authority, Education Organisation

£180 (3 members for the price of 2) £210

Cluster of schools/organisations

Please contact us to discuss group rates

Name of bursar: Please send an invoice to (organisation address):

Credit/Debit card contact Adrian Hall at 020 7612 6689 / 6245

Cheques make these payable to the Institute of Education and send with completed form(s) to: Adrian Hall Membership Subscriptions LCLL, 20 Bedford Way London, WC1H 0AL Tel: 020 7612 6689 / 6245 Email: londoncentre@ioe.ac.uk


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