AVSM Membership by CosmikManager | May 6, 2020 AVSM Membership Terms: £45 / Year First Name:* First Name Required Last Name:* Last Name Required Contact Number:* Contact Number is Required Job Title:* Job Title is Required How long have you been in post?:* How long have you been in post? is Required Less than 1 Year1-5 Years6-10 Years11-15 Years16+ Years Name of Hospice/Organisation :* Name of Hospice/Organisation is Required Postal Address:* Postal Address is Required Web Address:* Web Address is Required AVSM Region:* AVSM Region is Required EastLondon & North West ThamesMidlandsNorth EastNorth WestScotlandSouthSouth WestUnsure Number of volunteers:* Number of volunteers is Required Less than 5050-200200-400400-600600-800800-10001000-15001500-20002000+ Number of staff (including you) in your Volunteer Services team?:* Number of staff (including you) in your Volunteer Services team? is Required Total number of staff?:* Total number of staff? is Required Less than 5050-100100-150150-200200-250250-300300+ Is your Hospice a Child or Adult Hospice or both?:* Is your Hospice a Child or Adult Hospice or both? is Required ChildAdultBoth Is your Hospice a member of Hospice UK?:* Is your Hospice a member of Hospice UK? is Required YesNo Is your Hospice a member of Together for Short Lives?:* Is your Hospice a member of Together for Short Lives? is Required YesNo Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password REQUIRED must be 20 Alphanumeric Characters, and "Very Strong" or "Unbreakable". Credit Card Name on the card:* Name on the card is required. Credit Card:* Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it. I have read and agree to the Terms & Conditions.* Data Protection - The Association maintains a database of members’ details, as on this application form. These details are used only for the purposes of mailing to members. You may receive some communication via e-mail. You can view our Privacy Policy. Sign Up for the Association of Voluntary Service Managers Newsletter We Respect Your Privacy No val Please fix the errors above
