The Junior Network Application Form

I hereby apply for membership of The Junior Network. If accepted, I agree to be bound by the rules of the club.

Membership fees: £240 per year / £20 per month

Payment will be required upon notification of acceptance. There is a one-time registration fee of £20. All rates are inclusive of VAT.

FULL NAME *
First and last name
Your answer
EMAIL *
Your answer
CONTACT NUMBER *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
YOUR JOB TITLE *
Your answer
COMPANY *
Your answer
INSTAGRAM
Your answer
HOW DID YOU HEAR ABOUT US?
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