SIAH Membership

   (Mr., Mrs., Miss, Mr & Mrs etc.)
Company Name :  
UK Region: Non UK
Northern Ireland
Isle of Man
Channel Islands
Membership Type:  
With a renewal date of


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I apply for membership of the SIAH. I agree to abide by the rules of the society and will make payment as detailed above. I understand that any information I provide to the SIAH may be kept securely on a computer database in accordance with the Data Protection Act 1998.

I acknowledge and agree with the above declaration: