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Membership Request

Apply to become a Blesma Member

Fill out this form to apply to become an Ordinary or Associate Member of Blesma. The form will go to our membership team who will oversee your application from there.

For more information about the services that we provide to our members, go to the Member Services section.

To read about the different membership categories, click here.

* indicates madatory fields
Membership Type
Firstname *
Please enter your first name
Surname *
Please enter your surname
Email *
Please enter your email address
Address line 1 *
Please enter the first line of your address
Address line 2
Address 3
Town/City *
Please enter your town/city
County *
Please enter your county
Postcode *
Please enter your postcode
Contact number
I would like to receive updates on the latest news and events via
I would like to receive an email on the latest news and events

Please note that the membership request will need to be approved by BLESMA