AFFILIATION FOR HEALTH OR SOCIAL CARE ORGANISATIONS

Annual affiliation with STAMMA costs £100 for health or social care organisations with up to 200 staff or members, £150 for those with 201-10,000 staff or members, and £250 for those with over 10,000 staff or members.

Name of organisation

Type of organisation

HealthcareSocial care

ABOUT YOU

First name

Last name

Email address

Telephone number

Title/role

Who will send out information about STAMMA’s resources and workshops to your staff and members(if different from above)?

First name

Last name

Email address

Telephone number

Title/role

How would you like to pay?

Card paymentI would like to be invoiced

The affiliation fee is:

Amount £

The affiliation fees is:

Amount £

What purchase order number or reference do you want on the invoice?

Please add affiliation@stamma.org and hello@stamma.org to the ‘safe senders’ list in your email account.

If you’re able, please support our services with a donation. Your contribution helps us provide free support including employment support, advocacy, our helpline and webchat, family support, and a Minecraft Club for kids.

Donation Amount £

Donation amount £

Total amount £

Total Amount £

Name on card

Card number

Month

Year

CVC

Billing address

Billing county

Billing city

Billing postcode

Billing country

Source

Status

Subtotal

Contact Information