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Last name *

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Street address *

Apartment, suite, unit, etc. (optional)

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Phone *

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Account username *

Create account password *

Purchase Order Number *

Name of Organisation *

Name of Representative *

Email of Representative *

Principal activity of your Organisation *

Reason for wishing to join BALEAP *

Are you renewing an existing membership? *YesNo

Product	Subtotal
Associate Membership Subscription × 1	£295.00 on July 1st each year and a £75.00 sign-up fee
Subtotal	£75.00
Total	£75.00
Recurring totals
Subtotal	£295.00 / year
Recurring total	£295.00 / year First renewal: 1 July 2024

Direct Bank Transfer / Invoice

When making your payment directly into our bank account, please use the Order Number that you will receive in your order confirmation email as the payment reference.
If you require an invoice that includes a purchase order number, please select this option. We will then send you an invoice that also contains a link to a card payment facility (Stripe), should you prefer that.
Your booking will be confirmed once the funds have cleared in our account.
Credit card (Stripe)

Pay with your credit or debit card via Stripe.

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