DISABILITY INFORMATION SERVICE HUNTINGDONSHIRE
Registered Charity No. 1061702
MEMBERSHIP APPLICATION FORM
Individual Membership is open to all disabled people and carers, including parents/guardians of children with disabilities, who live or work in Huntingdonshire. An Individual Member will be entitled to full voting rights at all open meetings and the right to put forward questions for answer or discussion by the DISH Management Committee.
Group Membership is open to organisations in Huntingdonshire representing groups of people with disabilities with purposes similar to the purpose of DISH. The organisations appointed representative will be entitled to the same rights as an Individual Member.
Any individual, group or organisation who has specialist knowledge, experience or skills which are relevant to DISH.
Honorary Membership
Other individuals or organisations, wishing to support DISH, may apply to become an Honorary Member. An Honorary Member will have no voting rights. Anyone wishing to apply for Honorary Membership should contact the DISH Chairman for details (see overleaf).
Management Committee Membership
Please contact the DISH Chairman for details (see overleaf).
Please indicate the category of membership you wish to apply for:
Individual [] Group [] Associate []
Individual Membership Application:
Name ..
Address ..
Post Code: . ..
Tel . Email ..
Signature Date ..
Do you have a disability? YES/NO
Are you a carer? YES/NO
Are you a parent carer? YES/NO
Address ..
Tel ..
Signature . Date ..
o When completed this form should be returned to:
The Chair, DISH,
Cambridgeshire CB23 3UY
o The Management Committee has the right to refuse any application which, in its opinion, is inappropriate.
o DISH
is registered under the Data Protection Act.