Membership Form

Please complete the online form below in order to apply for admission to membership of The Institute of Spiritualist Medium

Mr. / Mrs. / Ms. / Miss.
Please specify here if you have received training in another field in relation to the previous question.
Please specify here where you received training if not listed above in relation to the previous question.
Clairvoyant, Clairaudient, Physical Trance, Psychic Artist, Healing, Other
In home circle, In church circle, Public meeting, ISM BRANCH, Other or Not Yet
Chairperson, Secretary, Treasurer, Committee Member, General Help, Other
Public speaking, Accountancy, Legal, Organising events / meetings, Auditing, Media, Committee work, IT skills, General Administration, Other
Friend, Internet, at an ISM event, Advert, Other
Please include for both contacts:
Full Name
Address
Post Code
Telephone Number
Mobile Number
Email Address
Initials and Surname
Date of Application
The annual membership fee is UK £17.50 - Pro Rota
Concession - over 60s £12.50 - Pro Rota
Europe £22.50 GBP, Rest of the World £27.50 GBP.
CHEQUE payable to ISM /CASH or BACS NatWest sort code 60-07-26 Ac 70835608
Please type whether you have paid by Cash, Cheque or Bank Transfer and the Date of Payment