Associate Membership Application

Your Group or Organisation

Name of your group or organisation

Correspondence address 1

Correspondence address 2 - Optional

Correspondence city

Correspondence postcode

Which local authority area/s are you located in and/or providing services/activities in?

If your organisation has a website or social media media accounts (Facebook, Instagram, Twitter/X) please provide these below:

Website - Optional

Facebook - Optional

Instagram - Optional

Twitter - Optional

What is the main purpose of your group/organisation?

How many individual older people normally take part in your group/organisation?

Do you provide services/activities for older people from ethnic minority communities? Yes No

What type of group/organisation are you?

Please provide details - Optional

Do you hold an AGM? Yes No

If yes, in which month do you usually hold your AGM? - Optional

Why do you want to become an Age Scotland member?

What is your preferred method of contact?

Key Contact Details

Title

First name

Surname

Position in the organisation

eg Chair, Secretary, Treasurer, Job Title of Staff Member

Address for correspondence if difference from above.

Address 1 - Optional

Address 2 - Optional

City - Optional

Postcode - Optional

Telephone

Second Contact Details

Title - Optional

First name - Optional

Surname - Optional

Position in the organisation - Optional

eg Chair, Secretary, Treasurer, Job Title of Staff Member

Address for correspondence if difference from above.

Address 1 - Optional

Address 2 - Optional

City - Optional

Postcode - Optional

Telephone - Optional

Email - Optional

Declaration and consent

By selecting "I agree" you are confirming that you are consenting to Age Scotland holding and processing the information on this form for the following purposes.

I agree

Please tick the boxes where you are giving Age Scotland your consent. You can change your preferences at any point by contacting us on 0333 323 2400 or emailing members@agescotland.org.uk

I consent to Age Scotland contacting me by email I consent to Age Scotland contacting me by post I consent to Age Scotland contacting me by phone

I would like to be kept informed about membership matters, news, events, activities and services at Age Scotland

I would like to receive a copy/copies of Advantage Magazine

Advantage is Age Scotland's free magazine for older people and our members. We are keen that members of your group/organisation have access to this magazine and that there are enough copies available to you.

How many copies would you require?

Please provide details - Optional

Age Scotland's Community Connecting Service helps tackle loneliness and isolation by connecting older people in Scotland with groups and organisations that offer friendship, social activities, health and fitness groups, and events.

Would you like to receive information about joining the Age Scotland Community Connecting database and for us to refer potential new members to you?

Application for Associate Membership

Stay informed