Membership Acceptance Form

If you have recently received an invitation from the Academy to become an Academician, you can accept and set up your first annual subscription payment online.

Please enter your details on the form below. Once you press submit, you will be re-directed to our secure online payment page.

If you have any questions about completing the form or payment details, please contact Mina Manik on either +44 (0) 20 7251 8777 or [email protected].

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Your membership details

Title

Name *

Date of birth (DD/MM/YYYY)

Organisation

Position

Primary profession (e.g. Architect, Economist) *

I am currently (hold 'Ctrl' (Windows) or 'Cmd' (Mac) for multiple selections)

Other roles: Director, Trustee, Professor etc.

Your contact details

Address 1 *

Address 2

City / Town *

Zip / Post Code

Country *

Phone

Mobile phone *

Email *

Website

Twitter username

Core programme involvement

I am interested in (hold 'Ctrl' (Windows) or 'Cmd' (Mac) for multiple selections

Once you have completed the form, a member of the Academy team will be in touch to welcome you on board shortly, however if you have any questions please contact us on +44 (0) 20 7251 8777.

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Your membership details

Your contact details

Core programme involvement

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