Application for Organisational Membership
Organisation name
*
Website
What are the primary aims of your organisation?
*
Why do you want to become an organisational member of Dyslexia Scotland?
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Named contact
*
First Name
Last Name
Email
example@example.com
Facebook
X (Twitter)
LinkedIn
Instagram
Invoice details - please tell us who to email if not the person named above
*
Upload a PNG of your organisation's logo (please note, we will only use this if your application is successful)
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Please tell us how you heard about organisational membership of Dyslexia Scotland
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