t: 01159 888 060

Membership Renewal Questionnaire

Please spare a few minutes to let us know why you are not renewing your memebrship by answering the questions below.

All data supplied in this form will be stored and used in line with the NISA Data Privacy Notice.

 

 

 

Membership Questionnaire

Please tell us your NISA Membership Number:

First Name:
 
Last Name:


Do you plan on renewing your NISA membership?



If you do not plan on renewing please let us know why:
(You can select more than one option)


If other please state your reason here:

Would you like to remain on our mailing list?