Membership Application Form

If you wish to become a member of NAPCE then please fill out the form below. When you have completed the form, simply click on the Submit button at the bottom of the page. If you wish to clear all the fields at any point, click on the Reset button.

Under the Data Protection Act all personal details are treated confidentially and not passed on to third parties, except in the case of the Pastoral Care in Education journal where addresses are sent to the publisher/distributer for delivery purposes only.

1) Fill in the following personal details

Title (*)	Mr. Mrs. Ms. Miss Dr. Rev.
Name
Surname (*)
Address Line 1 (*)
Address Line 2
City
County
Postcode (*)
Country (*)	AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijan BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundi CambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicCongo (DRC) DenmarkDjiboutiDominicaDominican Republic East TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopia Falkland Islands (Islas Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic Lands GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietamVirgin Islands (British)Virgin IslandsWallis and FutunaYemenZambiaZimbabwe
Telephone (*)
Fax
E-mail
LEA
(You can select more then one by holding down the 'ctrl' key while clicking the mouse)

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2)	Choose one or two categories which most closely describe you or your institution

Institution type	Primary Middle Secondary Six Form FE HE Independent City Technology College Grant Maintained Teachers' Centre Local Authority Advisory Teacher Adviser Inspector Ed Psycho Social Services Voluntary Organization Other
(You can select more then one by holding down the 'ctrl' key while clicking the mouse)

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3) Choose the type of membership you require

		U.K. & Europe	Rest of the World
Membership type	Individual	£43.00	£60.00
	Institutional (Primary and Special)	£43.00	£60.00
	Institutional (other)	£64.00	£74.00
	Students & NQTs	£21.00
	Retired Members	£21.00
(Prices are per year)

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4) Chose the number of years you require membership for

No. of years

1 2 3 4 5

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5) Chose your choose of payment method

     

 Add to your shopping basket - to pay online with a credit/dedit card OR to pay by cheque.

 Pay by Direct Debit - We will send you full details and a direct-debit form.

 Be Invoiced - Please invoice me at the above address.

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