Membership Form

To join LATE print out this form, fill in your details and post to Simon Gibbons, LATE Secretary, 37 High Street, Cottenham, Cambridge, CB4 8SA.

STUDENTS AND NQTs RECEIVE FREE MEMBERSHIP OF LATE!

To Simon Gibbons, LATE Secretary, 37 High Street, Cottenham, Cambridge, CB4 8SA

I wish to join/renew membership of LATE. (Tick either A, B or C below)

A. I enclose a cheque payable to "LATE" for £10.

B. I am a student teacher at _______________________ and claim free membership of LATE.

C. I am a newly qualified teacher at _____________________ School and claim free membership of LATE.

Signed:

Date:

Name (BLOCK CAPITALS PLEASE):

Address:

School name and address:

Tel:

E-mail address: