Membership Application Form

Please indicate which type of membership you require
Individual £50 (For retired or student membership please contact us)
Corporate £200 (up to 5 members. For additional members please enquire for price)

For Corporate membership please complete the application form with details for the main nominated member who will then receive all membership renewal details.
Individual applications should complete sections 1, 3 and 4
Corporate applications should complete all sections

SECTION 1
Title: Professor/Dr/Mr/Mrs/Ms/other (please state)
Surname:
Forenames:
Letters after your name (eg LLB, FCII):
Name of Organisation:
Your Position in the Organisation:
Website Address:
Address:
 
 
Postcode:
Tel:
Fax:
e-mail:
Type of address: Home      Work

SECTION 2

For Corporate Membership please list Full Name (including Title), Telephone, Fax and Email of each additional Corporate Nominee.

Note: If any of these nominees have a different address than that of the main address stated previously please give these details also.

SECTION 3

Please specify which of the following descriptions applies to your business (you may select more than one category)
 
Solicitor Broker Loss adjuster
Barrister Overseas law firm Insurance/reinsurance consultant
In-house lawyer Accountancy firm Academic
London office of overseas law firm Insurance/reinsurance company Lloyd's
Other    

(Below, for corporate members please specify which nominees answer yes)
Would you be interested in contributing to the Association's Journal? Yes      No
Would you be interested in giving talks? Yes      No
Would you be interested in joining a committee/working party? Yes      No

Please specify which of the following areas of insurance or insurance law you are particularly interested in (you may select more than one category)
Aviation Product Liability Reinsurance
Directors and Officers Liability Professional Indemnity US
Marine Regulation Motor
Other (please specify)

SECTION 4

Payment

I/we hereby apply for membership of the British Insurance Law Association under Rule 3 of the Constitution and Rules and confirm the relevant remittance has been posted to the BILA secretariat in payment of the first year's subscription payable to BILA. I/we agree, if elected to membership, to abide by the Constitution and Rules of the Association. I/we hereby consent to the above information being used in accordance with the aims and objects of BILA, which might require the information to be passed to third parties, and for the purposes of supplying me/us with advertising or marketing material which BILA thinks may be of interest to me/us.

Please enter your name here to signify acceptance of the above:

Please send payment to:
British Insurance Law Association
47 Bury Street, Stowmarket, IP14 1RJ
Tel: + 44 (0) 7776 115795 Fax: +44 (0) 1449 770941
Email: membership@bila.org.uk
Website: www.bila.org.uk
 
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