ICOM UKMEMBERSHIP RENEWALS2015INDIVIDUAL MEMBERS

PLEASE complete both pages of this form and send it with your payment to the ICOM UK Membership Administrator at the above address or email to:

SECTION A: YOUR DETAILS

Name: / Membership Number:
Job title: / Institution:
Delivery address for sticker:
Personal email address:
Date of Birth: / Tel:
Work area: Individual regular members only / Curatorial/ Registry/ Conservation/ Design & Exhibition/ Marketing & Development/ Visitor Services/ Research & HE/ Schools & Education/ Volunteer Management/ Governance &Trusts/Finance/Historic Houses/ Heritage & Visitor Attractions/ Security/Other Specify:…………………………………(circle one)

SECTION B: CATEGORY OF MEMBERSHIP: TICK ONE

Individual regular member / £77.00 / 
Student/retired member / £36.00 / 

SECTION C: METHOD OF PAYMENT

Pre-payment options: / Processed directly
I enclose a cheque made payable to ICOM UK / □
I have paid my 2015 membership fees by BACS or other transfer. Please use your SURNAME as payment reference.
Bank: Natwest Branch: Woodstock
Account Name: ICOM UK
Account Number: 07047606 / Sort Code: 55-81-35 / □ / Date of BACS transfer:
I enclose a Purchase Order / □ / Ref Number:
Other options: / Processed only when payment is received
Please send me an invoice / □

DECLARATION

Signed:……………………………………………………………………………. Date:……………………………

I confirm that the information above, with any amendments I have made, is correct.

I confirm that the ICOM UK Committee may store the information I have provided in a database, and share it with the ICOM Secretariat, for the purposes of administering my membership.

PLEASE CONTINUE TO PAGE 2

SECTION D: INTERNATIONAL COMMITTEES (ICs)

ICOM carries out much of its work through International Committees; these are listed below and we encourage UK Members to join and get involved.

The 31 International Committees provide forums for networking, sharing expertise and partnership-building across borders. Read more about Committees’ work at:

Please list the ICsof whichyou are ALREADY a VOTING Member:

1. / 2. / 3. / 4. / 5.

Please list those ICs of whichyou are ALREADY a NON-VOTING Member:

1. / 2. / 3. / 4. / 5.

If you would like to join an International Committee

You may either:

  1. Fill in the form on the HQ website page above and return it to either the Committee concerned or to ICOM HQ

OR

  1. Fill in the box below and ICOM UK will forward your preferences to ICOM HQ

Please list here those IC’syou would like to join:

As an ICOM Member you may join one as a VOTING member and specify interest in a maximum of 3others

1. VOTING / 2. Interest (non -voting) / 3.Interest (non-voting) / 4.Interest (non-voting)

List of Committees for Information

AVICOM – Audiovisual / ICLM – Literary Museums
CAMOC – City Museums / ICMAH – Archaeology and History
CECA – Education/ Cultural Action / ICME – Ethnography
CIDOC – Documentation / ICMEMO – Memorial Museums
CIMAM – Modern Art / ICMS – Museum Security
CIMCIM – Musical Instruments / ICOFOM – Museology
CIMUSET – Science and Technology / ICOM-CC – Conservation
CIPEG – Egyptology / ICOMAM – Arms and Military History
COMCOL – Collecting / ICOMON – Money and Banking Museums
COSTUME – Costume / ICR – Regional Museums
DEMHIST – Historic House Museums / ICTOP – Training of Personnel
GLASS – Glass / INTERCOM – Management
ICAMT – Architecture/ Museum Techniques / MPR – Marketing and Public Relations
ICDAD – Decorative Arts and Design / NATHIST – Natural History
ICEE – Exhibition Exchange / UMAC – University Museums and Collections
ICFA – Fine Arts