Membership Application and Renewal Form 1Primary Membership Contact2Organisation Status3Membership Type4Terms and Conditions Primary membership contactName(Required) First Last Job Title Organisation(Required) Address(Required) Street Address Address Line 2 City ZIP / Postal Code Email(Required) Enter Email Confirm Email Website address Organisation detailsPlease indicate the status of your organisation(Required) Private Sector Charity registered in England and Wales Charity registered in Scotland Charity registered in Northern Ireland Co-operative and Community Benefit Society CIC / Social Enterprise Local Authority / Housing Association / Health Authority Citizens Advice / Consumer / Regulatory Registered Charity Number Private Sector(Required) Energy Supplier Retail Manufacturer Installer Consultant Please select the nation / region you would like to be registered(Required) England – NORTH EAST England – NORTH WEST England – YORKSHIRE & HUMBER England – EASTERN REGION England – EAST MIDLANDS England – WEST MIDLANDS England – SOUTH WEST England – LONDON England – SOUTH EAST NORTHERN IRELAND SCOTLAND WALES Membership TypeSupporting Membership is FREE and is open to charities, Community Interest Companies, local authorities, Citizens Advice and not-for-profit registered housing providers. Supporting Membership does not include discounts on training courses or conference delegate places. Enhanced Membership (Community) is open to the above categories and includes all benefits. Enhanced Membership is open to private sector small to medium businesses with a turnover of less than £500k and includes all benefits.Which membership type are you applying for?(Required) Supporting Membership Enhanced Membership (Community) Please confirm your annual turnover is less than £500,000(Required) I confirm my annual turnover is less than £500,000 How do you wish to pay? (Community)(Required) Invoice Credit / Debit Card Enhanced Membership (Community) CC(Required) NEA Enhanced Membership: England/Wales/Scotland: £75 + VAT NEA Enhanced Membership: Northern Ireland: £50 + VAT VAT @ 20%(Required) Price: £ 0.00 Total How do you wish to pay? (SME)(Required) Invoice Credit / Debit Card Purchase order numberPlease provide a purchase order number so that we are able to invoice you. Email for invoice(Required)Please provide an email address for us to send your invoice. Enter Email Confirm Email What month would you like your membership to start?(Required)Memberships run from the 1st of the month you choose for 12 months.JanuaryFebruayMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberEnhanced Membership (SME) CC(Required) NEA Enhanced Membership: England/Wales/Scotland: £300 + VAT NEA Enhanced Membership: Northern Ireland: £180 + VAT VAT @ 20%(Required) Price: £ 0.00 Total Credit CardCard Details Cardholder Name Terms and ConditionsBy applying for membership you agree that: You are applying on behalf of your organisation/authority and not in a personal capacity and you have the authorisation to do so. You agree that NEA can refer to your company/authority as an NEA member, and may use the company/authority logo on the members pages of the NEA website. Your organisation/authority supports the objectives of NEA. Members should behave in a way which maintains the professional standards associated with the membership of NEA as a national charity. Membership of NEA does not provide an endorsement of technical or other standards and should not imply that it does. Members may only use or reproduce NEA’s logo with the written permission from the organisation. Reference to membership may be included on letterheads used for individual correspondence. Agreement(Required) I agree to the terms and conditions outlined above GDPR(Required)I understand that my details will be added to NEA’s membership database and used to contact me with membership-related information, including newsletters. I understand that my information will not be passed to any third party unless permission is given. I agree The amount below will be charged to you card once your press Submit
