APPLICATION FOR ORGANISATIONAL MEMBERSHIP

1) Details of applicant:

NAME OF ORGANISATION
PRINCIPAL CONTACT
TELEPHONE NUMBER
EMAIL ADDRESS
WEB ADDRESS

2) Please give a brief outline of the aims and activities of your organisation:

3) Please give details of two independent persons who have agreed to act in support of your application:

FIRST SUPPORTER
CONTACT NAME
ORGANISATION
ADDRESS
EMAIL/TELEPHONE NUMBER
SECOND SUPPORTER
CONTACT NAME
ORGANISATION
ADDRESS
EMAIL/TELEPHONE NUMBER

Membership Record details

Please provide the following information for our membership records.

4) The name(s) and address(es) of one (if your society is under 100 members) or two representatives, who will receive copies of British Archaeology magazine, Newsletterand Council papers.

FIRST REPRESENTATIVE (PRINCIPAL CONTACT ABOVE)
NAME
ADDRESS
EMAIL
SECOND REPRESENTATIVE
NAME
ADDRESS
EMAIL

5) The name and address of your Treasurer to whom the invoice for the annual membership fee should be sent:

NAME
ADDRESS
EMAIL

6) Does your organisation have members?

YES-Go to question 7 NO - Go to question 8

7) Please state how many members your organisation has so we can calculate your membership rate:

No. OF INDIVIDUAL MEMBERS
No. OF INSTITUTIONAL MEMBERS

Go to question 9

8) Which of the following categories best describes your organisation?

LOCAL SOCIETY OR COMMUNITY GROUP
NATIONAL MUSEUM
OTHER MUSEUM
LOCAL GOVERNMENT DEPARTMENT
UNIT, TRUST, COMMITTEE
UNIVERSITY
EXTRA-MURAL OR OTHER UNIVERSITY DEPT
OTHER EDUCATIONAL BODY
OTHER- PLEASE SPECIFY

9) When you join the CBA, we also offer you the chance to join one or more CBA Groups, for a small additional fee:

East £7East Midlands £5London £7 North £10

North West £10 South East £10 South Midlands £8.50South West £15

Wales £22.50Wessex £20 West Midlands £15Yorkshire £15

See more information about what the groups have to offer.

To which Group(s) do you wish to belong, for the extra charge(s) indicated above?

10) As part of your organisational membership, you are welcome to take out insurance for archaeological activities under the CBA endorsed insurance policy operated by Towergate Insurance. Please contact Tariq Mian at Towergate on 01329 228791 for further details.

11) Do you have any further comments or queries?

Many thanks for applying for organisational membership of the CBA.

Please return this form by email to or by post to: Finance Director, CBA, Beatrice de Cardi House, 66 Bootham, York, YO30 7BZ

The Council for British Archaeology is a Registered Charity in England and Wales No. 287815 and in Scotland No. SC041971 and a Company Limited by Guarantee, registered in England No. 1760254.