Application to Join NORMIT

Contact Name

Job Title

Organisation

Address

Telephone Number

Mobile

Fax

Email Address

Number of Employees

Less than 10                          = £  20
11 - 24 Employees               = £  55 
24 - 149 Employees             = £110
150 - 499 Employees           = £275
500 - 1000 Employees         = £550

More than 1000 Employees = £875

Annual Membership Fee

  £  

Pro Rata fee payable*

 £  
* Membership fees are due in on 1 April each year. If you are applying to join part way though the year please calculate the fee on a pro rata basis until 31 March.
How would you like to pay?
 Please invoice me      
 I will send a cheque  

Cheques should be made payable to Norfolk County Council. Send to NCC Emergency Planning Unit, County Hall, Martineau Lane, Norwich, NR1 2DH

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