Would you like to join us?

Before you print out this application form please reduce the size so it prints on one page only. This is an application for a personal subscription. Groups, colleges etc. please contact me. Subscriptions may begin at any time of the year, to cover 4 issues of Midwifery Matters beginning with the most recent. Members are entitled to reduced entrance fee and help with travel expenses to ARM National Meetings.

Name (please print clearly):____________________________________________________

Address:__________________________________________________________________________

___________________________________________________________________________________

Postcode _________________ Telephone _________________________

MIDWIFE (please circle): Community / Hospital / Group / Tutor / Manager / Research / Independent / Not practising / Unemployed / Retired

STUDENT MIDWIFE: Course ends (month) ___________ (year) ________

NON-MIDWIFE (Occupation):_______________________________

Is this your first subscription to ARM? Yes / No
(If "No", and your surname and/or address has changed, please give the previous details.

_________________________________________________________________________________________

SUBSCRIPTION FEE: UK and Europe £30 p.a.. All other countries (airmail) £35 p.a. (Pounds Sterling only please). Optional concession:Unwaged, grant-aided students, etc. (UK only) £12.50 p.a. Please make cheque/postal order payable to ARM, and post to ARM Membership, 62 Greetby Hill, Ormskirk, L39 2DT. If you choose to pay by Standing Order, please complete and send both sections.

=========================================================================================
THE ASSOCIATION OF RADICAL MIDWIVES - Standing Order Form

Name and full postal address of Bank/Building Soc:________________________________________

__________________________________________________________________________________________

Postcode (important): _________

Please pay £ __________ on (day) ______ (month) _______ (year) _____ and ANNUALLY thereafter until further notice to: The Association Of Radical Midwives, Community Account No. 20776831, Sort code 20-35-84, Barclays Bank PLC P.O.Box 14 Halifax HX1 1BG

and debit my account, number:____________________________

Signed _______________________ Date ______________

Name (please print clearly):________________________________________________________________

Address:___________________________________________________________________________

____________________________________________________________________________________

Postcode: _________

Radical Midwives' Homepage - www.midwifery.org.uk