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International Police Association
Arthur Troop House, 1 Fox Road
West Bridgford
Nottingham NG2 6AJ UK

Membership Update Form
This form is for updating the data already held about you on our membership database.  Please complete only those parts of the record which need adjustment.

Only complete those fields that you wish to update - Fields marked with an * are compulsory

Title*
After name title (e.g. OBE, BEM)
Surname*
First Name(s)*
Home address*
Postcode*
IPA Membership Number*
Telephone number (home)*
Telephone number (work)
Email address*
Date of birth
Date of joining force
Rank
Force
Warrant Number
Most recent station
Date of retiring from force (if applicable)
If working most recent type of employment since retirement (if applicable)
Do you have any interests or hobbies? (please state)

Involvement within the IPA, the continued development of the IPA relies on volunteers. Please tick if you will be able and/or willing to assist in the future
Involvement in branch activities
Hosting visitors
Organising events/visits
Station communication
Development of interest groups
Administration

Other (please state)
IPA Branch To which you wish to be attached

The data provided is maintained on a computerised record system at IPA BSAC and may be passed, either through the postal system or by electronic means, to other IPA officials, for purposes confined to membership administration.

We occasionally make our mailing list available to selected reputable companies with whom we have a trading agreement. If you do NOT wish us to forward your details, please state NO here.

Direct Debit Advance Notice
Joining fee. The sum of £25 is due immediately and must be paid by Direct Debit. Your account will be debited within 6-21 days from your date of enrolment. This is a one-off payment.
Members joining between 1st July - 30th September will pay half price joining fee. Members joining between 1st October and 31st December do not pay the renewal fee on the first immediate 1st January following enrolment.
Renewal fee. The sum of £22 is due on 1st January. This is an annual payment. Direct Debit reference number. You should quote this number, when querying DD matters.


Instruction to your Bank or Building Society to Pay Direct Debits

Originator's Identification Number 99|69|06|

Bank/Building Society
Address of Bank/Building Society
Name(s) of Account holders
Branch sort code
Bank/Building Society Acc Number
Instruction to your Bank or Building Society: Please pay International Police Association Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with International Police Association and if so, details will be passed electronically to my Bank/Building Society.
Type name here:
As proof of my acceptance tick check box
   
Date
For your security all details are sent via a secure server