Decade of Action for Road Safety
iRAP

Application for iRAP Associate Membership

This form testifies that the organisation agrees to become an iRAP Associate Member in the category specified below and to abide by the Memorandum and Articles of Association and the Rules of the Association for the duration of membership.

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Description 1

Description 2

Description 3

Description 4

Description 5

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Please enter the two words shown in the image below. By completing this field you acknowledge you are authorised to submit this application on behalf of your organisation.

Hint: Click the reload button if you are unable to read the words, or the audio button to use sound instead of text.

This form will be submitted to Brenda King, Company Secretary, iRAP, Worting House, Basingstoke, Hants, RG23 8PX, UK. Tel: +44 1256 345598. Fax: +44 1256 811876. Mobile: +44 7887 674 545. brenda.king@irap.org. www.irap.org. Charity No. 1140357.