Online application as an Affiliate

Joining during this quarter is £125.00 which gives you membership from today until 31 December 2010.

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First name*

Surname*

Date of Birth*

Job Title*

Employer*

Correspondence address is*

Address 1*

Address 2

Town / City*

County

Country*

Postcode

Daytime Phone*

Mobile

Email*

I am under 35 and wish to join the YLP

Are you joining under the 'member gets member' scheme?*

Introduced by (name):

Introduced by (number):

Introduced by (e-mail):

By ticking the box below I confirm that should I be accepted for the grade of membership applied for, I will uphold the values of the Institution of Lighting Engineers and confirm that I have read and will conform to the ILE Code of Professional Conduct.

I agree with the above statement