Corporate Membership Application

Part A: Organisation Details

Part B: Contact Details

This person is our primary contact who will be responsible for your organisation's membership. Any communications regarding your Granada Corporate Membership will be directed for their attention.

Part C: Pricing

Corporate Membership
The annual membership subscription is based on the number employees.

Part D: Payment options

Invoice
This can be raised on request. If the invoice requires a purchase order number, please fill in box allocated.

Bank Transfer

Please make payable to Granada Healthcare.

For payments in currencies other than Sterling, the equivalent of £15.00 must be added to your payment to cover bank charges.

Subscriptions are renewed annually and notification will be sent to the Primary Contact.

Part E: All nominees will be opted in to receive the following

Granada Healthcare will hold and process your personal data on its computer database in accordance with the Data Protection Act 1998. This information may be accessed, retrieved and used by Granada and its associates for normal administration purposes.

Granada Healthcare may also periodically send you information about new workplace mental health services, membership, training courses, events, conferences and publications it thinks may be of interest. By filling in and submitting this application form you agree to Granada processing your sensitive personal data for the purposes as set out in the Granada Healthcare Data Privacy Notice.

Part F: Declaration

On behalf of the Organisation,I here by apply for Corporate Membership of Granada Healthcare. The Organisation agrees to accept and abide by the Terms and Conditions of Corporate Membership and, in so far as applicable to corporate members of Granada Healthcare. I wish to confirm that, to the best of my knowledge, the information provided on this application form is correct.