Organisation Registration Form – Acupuncture Association

Organisation Name

Registered office address:

Town:

County:

Postcode:

Country:

office Tel:

Office Email:

CEO / Principal Name:

Tel

email:

Organisation Representative Name for the AA Board if different to CEO:

Tel

Email:

Brief description about your organisation and specialties:

Are you a School/ College ? If yes how many students per year do you have ?

Are you an Organisation or Group? If yes how many members are in your group ?

What interests you in joining AA, how can we help you and what areas do you need support with ?