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Affiliate Membership - CIPD

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Section 4 – <strong>Membership</strong> fees (continued)Admission fee £80Subscription fee £130Priority overseas mail (if applicable) £ ..............Total due £ ..............Please find enclosed a cheque for £ .....................Please debit £ ..................... from my cardCard type: Visa MasterCard Maestro Solo AMEXCard account numberValid from / Expires end / Issue number /(Maestro and Solo)Security code(see section 4, note 3)Name of cardholder .......................................................................................................... Signature ................................................. Date .........................If the card billing address is different from the address(es) already given, please fill in the relevant details below...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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