Membership Form

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

Title * Mr. / Mrs. / Ms. / Miss.

First Names *

Surname *

D.O.B *

Address *

Postcode *

Tel: *

Mobile

Email *

May we share your details with your local branch? *

What is your reason for joining the ISM? *

Have you received any training in: *

Mediumship

Speaking

Healer

No training yet

Other Please specify here if you have received training in another field in relation to the previous question.

Have you tutored or instructed others? * In home circle, In church circle, Public meeting, ISM BRANCH, Other or Not Yet

Have you held any post within a Spiritualist organisation? * Chairperson, Secretary, Treasurer, Committee Member, General Help, Other

How did you find out about the ISM? * Friend, Internet, at an ISM event, Advert, Other

Signed * Initials and Surname

Date: * Date of Application

Payment for Membership * 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