ISAS Membership Application Form

• Name*
  Title First Last
• Date of birth*
  DD/MM/YYYY
• Gender*
  Male
  Female
• Address
  Street Address
  Address Line 2
  City
  County
  United Kingdom Afghanistan Albania Algeria Andorra Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Country
  Postcode
• Telephone
  Mobile
  Email*

  This will be used for correspondence in preference to post
• Scout Group (if applicable)
  District
  County
  Scout Association Membership No.
• Will the ISAS be your sole involvement in Scout*
  Yes
  No
• If you answer NO please state:
  CRB disclosure number
  CRB disclosure date DD/MM/YYYY
• State country of particular interest and any skills and experience you may wish to share
• I am sending an annual donation (minimum of £5) to the value of £* (membership is free for applicants under the age of 25 years)
• I would like International Scout Active Support to treat this payment as a GIFT AID DONATION. Note: if you tick this box for Gift Aid, this will not cost you a penny extra, but you must be a UK Tax Payer with an annual income tax or capital gains tax at least equal to the tax we reclaim on the payment (currently 25p for every £1 you give).
  What this means is that the Government will give us £25 for every £100 we receive from members like you.
  If you are not a UK Tax Payer, or you do not wish to make your donation in the form of Gift Aid, we do not wish to put you under any obligation to do so.
• Cheque See address below
  Bank transfer (BACS) Name of Bank Account: International Scout Active Support
  Sort Code 60-17-21
  Account No. 89338227
• I understand that the information supplied will be used in relation to my membership of the International Scout Active Support. I also agree to abide by the rules of The Scout Association*.
• *required

Please be aware that your details will be kept in the accordance with the Data Protection Act and guidelines as issued by The Scout Association.

Renewal Membership is due by 31st December each year.

Any questions please email: membership@internationalscouts.org.uk
Membership Secretary: Tony Fulford, 25 Spring Meadow, Bracknell, Berkshire RG12 2JP