Associate Parliamentary Media Literacy Group Application form

Fields marked with * are required.

 I wish to join APMLG as a non-parliamentary individual

 I wish to join APMLG as a non-parliamentary public body

 I wish to join APMLG as a non-parliamentary company/corporate organisation

Member's Name* 

My /our reasons for wishing to join APMLG are 

Name and position of company/corporate representative to receive correspondence 

Address* 

Postcode* 

Email Address* 

Telephone* 

Date 

Subscription rates per annum

 Individual £25

 Public Body £100

 Company/Corporate Organisation £500

New members will be invoiced for the appropriate subscription upon acceptance by the APMLG officers as members.