Step 1: Corporate Information
	Corporate Name (Required)
	Corporate CEO (Required)
Mr. Ms. Mrs. Miss Dr. Prof. none	Title
	Contact E-mail address (Required)
Yes No	Is this a renewal?
Yes No	If No, have you been a previous corporate TI Member?
	If either is yes, please enter number if possible
	Address Line 1
	Address Line 2
	City
	State/Region
	Postal/Zip Code
	Country
	Company Telephone
	Company Fax
Contact Person
	Name
	Job Title
	Contact Address Line 1
	Contact Address Line 2
	Contact City
	Contact State/Region
	Contact Postal/Zip Code
	Contact Country
	Contact Telephone
	Contact FAX
Step 2: Select Payment Amount and Plan
One Year Membership Fee (Required) GB£1000/yr Premier GB£700/yr Standard GB£500/yr Affilate (has at least 2 employees who are current members of the Institute) 2011 Fee Scheule (please inquire for details) GB£625/yr GB£475/per year: Organizations with less than 75 employees and at least 2 employees who are currently individual members of the Institute. GB£475/ per year: Subsidiary of an existing Corporate Member Credit Card Cheque Invoice Direct Payment Preferred Payment Plan If you are a subsidiary company, please enter your parent company
Step 3: Credit Card Information
American Express Visa Mastercard/Access Switch/Delta
Credit/Debit Card Number (no spaces)
01 02 03 04 05 06 07 08 09 10 11 12 Expiration Month
2012 2013 2014 2015 2016 2017 2018 2019 2020 Expiration Year
Security Code (last 3 digits on card back or 4 digits on AMEX front)
For Switch/Delta Cards only: Start Month (2 Digits) Start Year (2 Digits)
	Full name on the Card
	Street Address Line 1
	Street Address Line 2
	City
	State/Region
	Postal/Zip Code
	Country
Please include any additional information. Comments:

CONFIRMATON: You will receive two confirming emails. The first is sent by the system immediately. The second confirmation is sent from the UK office within 2 business days (UK time). If you do not receive that confirming e-mail, please contact the Membership Department as soon as possible.

NOTE: Your credit card information is processed manually by the TI office. You card is not charged until that processing takes place and you will receive a notification from the office.

Please press the Submit Button only ONCE. there may be a delay as long as 60 seconds before the confirmation page is printed. The data is being processed by www.joecunning.com on a secure server. If your browser does not recognize this certificate, please recognize the server. Joe Cunning is the Membership Chair of The Textile Institute and has graciously agreed to process the membership data.