FAST TRACK APPLICATION FORM
Items marked in red are required items
Home Address
(Providing your email address helps us to reduce administration costs)
CIWM's preferred payment method is by Direct Debit. A 10% discount applies to payments made by annual DDs and 5% for quarterly DDs. Please complete a DD form - available on line via this link https://www.ciwm.co.uk/mediastore/FILES/11969.pdf - and forward it to the Membership Department.
Payment by Direct Debit also remits the £5 administration fee applicable to all other payment methods and which is included in the amounts shown above.
If paying by cheque, please send us your cheque upon receipt of your invoice.
If paying by card, please complete the following details:**If you are paying by Switch/Maestro please enter an issue no or start date