Application Form

If you wish to join the British Association for Supported Employment please complete and send the form below. You will in due course receive an invoice and further information.  Our current full membership rates are Small Provider (less than 2 employment staff) - £110 +VAT; Local Provider - £275 +VAT; Regional Provider - £550 +VAT; National Provider - £1100 +VAT. Affiliated membership is available for organisations that do not provide employment support - £110 +VAT.  If you have any queries regarding this form, please telephone the BASE Secretariat on 08445 617445.  or you can email the BASE Secretariat at admin@base-uk.org.

BASE Membership Form  

 
Please fill in all fields marked with a *
Contact name *
Organisation *
Address line 1 *
Address line 2
Address line 3
Town *
County
Post code *
Telephone number *
Fax number
Email *
Please indicate the type of organisation *
Providers of supported employment should choose full membership. Affiliated membership is available for organisations that do not provide supported employment but support the aims of BASE. Only organisations with full membership have voting rights within BASE.
Type of membership *
Comments
How did you hear about BASE *
BASE maintains a membership database for administration and distribution of information.  We will not divulge your details to any third party without your consent. Please note that if you wish your agency's details to be included in our membership locator, you should complete the consent form on our membership locator page.
Please tick only if you do not give your consent
I apply for membership of the British Association for Supported Employment for the period up to 31st March 2010. I agree with the aims of the Association and the definitions of Supported Employment endorsed by the Association.  I also agree to abide by the constitution of BASE.  I understand that the Association has the right to withhold or withdraw membership of the Association from any individual or organisation at the discretion of the National Executive Committee, elected annually by all full members of the Association at the Annual General Meeting.