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Organisation:*

Email address:*

Telephone No:*

*Amount to Pay (For organisations outside the North East Select outside option and we will contact you) Please Select ---------------------------------------------------------- Voluntary Organisations No paid worker 1 Years subs £15.00 Voluntary Organisations No paid worker 9 Months (Oct-June) £11.25 Voluntary Organisations No paid worker 6 Months (Jan -June) £7.50 Voluntary Organisations No paid worker 3 Months (Mar-Jun) £3.75 ---------------------------------------------------------- Voluntary Organisations paid worker 1 Years sub £45.00 Voluntary Organisations paid worker 9 Months (Oct-Jun) £33.75 Voluntary Organisations paid worker 6 Months (Jan-Jun) £22.50 Voluntary Organisations paid worker 3 Months (Mar-Jun) £11.25 ---------------------------------------------------------- Statutory Organisations 1 Years Sub £90.00 Statutory Organisations 9 Months (Oct-Jun) £67.50 Statutory Organisations 6 Months (Jan-Jun) £45.00 Statutory Organisations 3 Months (Mar-Jun) £22.50 ---------------------------------------------------------- Outside the North East of England

*Payment Method:  Please Select Please invoice Cheque

Delivery address and invoice address (if different to delivery)*

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Please note bulletins will NOT be sent until

payment has been received.