New Membership – Organisation Please enable JavaScript in your browser to complete this form.Company Name *HQ Address *Post Code *Corporate Email *WebsiteRegion *North EastYorkshire and HumberNorth WestEast MidlandsWest MidlandsSouth WestLondonSouth EastEastern RegionNationalInternationalPrimary Contact NamePrimary Contact Email *Primary Contact Phone *Finance Contact Name *Finance Contact Email *Finance Contact Phone *Other NameOther EmailOther PhoneMembership Group *Standard B1 – £995Standard B2 – £595Standard B3 – £195Standard B4 – £50Enhanced E1 – £2500Enhanced E2 – £1500Enhanced E3 – £1000Self Advocacy Group or Organisation S1 – £100Self Advocacy Group or Organisation S2 – £25Family member or friend group or organisation F1 – £100Family member or friend group or organisation F2 – £25Partner Organisation LA1 – £995Partner Organisation LA2 – £100What group do you most identify with? *Person with a learning disability or Self Advocacy group.Family, friend or circle of support for someone with a learning disability or a family led organisation.Paid supporter or professionals working with people with learning disabilities or the organisations they work in.If you are a Paid Support or Professional, what does your organisation focus on? Please tick the most relevant to you. *Housing providerSupport providerAdvocacy organisationCouncilCommissioning groupLaw firmUniversity (department)Training providerDevelopment organisationHealthShared LivesArts, Dance, TheatreCommunity OrganisationWhere did you hear about is? *LDE websiteSocial mediaWord of mouthE-mailLDE eventPlease specifyPartner organisationDirect contactAnother websiteSearch engineChoice 14If your answer to the above question was: LDE Event, Partner Organsation, Direct Contact, Another Website, or Search Engine, please specify below.How would you like to pay? *Credit or Debit CardBACSChequeInvoiceIf you have a PO number please enter it here.Submit