Student Membership - Society of Floristry

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Student registration

Your Details

Title:

Surname * :

Firstname * :

Username * :

Email Address * :

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Password * :

Re-type Password * :

Contact Details

Home Telephone:

Mobile Number:

Work Number:

Home Address * :

County * :

Postcode * :

Country * :

College Details

E-mail address of referee * :

Name and address of college referee (Tutor/assessor/head of school), course name & dates of course * :

Qualifications

Occupation / Connection with floristry:

Floristry Qualifications held and year obtained:

If you would like to assist in any of the work that the Society of Floristry carries out on behalf of its members, (e.g. the annual show, workshops and demonstrations, selling publications etc) please indicate your willingness to do so here and state which area interests you:

Declaration: By submitting this application I agree to uphold the aims and objectives of the Society of Floristry.

Please tick box *

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Student registration

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