PPU Membership Application Form

(* mandatory fields)
* Airline
* Rank
* Base
* Fleet
* Contracted Hours
* First Name
* Surname
* Address

City
County
* Postcode
(please enter N/A if not appropriate)
* Country
* Staff Number
* Email Address
Home Tel.Number
Mobile Tel.Number
 
By clicking this box, I confirm that I have read the Consistution of the PPU and that, I agree to join the PPU as a member and that both the PPU and I agree to be bound by the Constitution of the PPU (as amended from time to time)

Emergency Contact

Name of emergency contact
Phone number of emergency contact

Legal Cover

Choose Your Level of Legal Cover (Payable Monthly) £125,000
£250,000

PPU Group Commercial Legal Expenses Insurance

 
By clicking this box as per Rule 12 of the PPU Constitution, I hereby elect to have the following level of Professional Legal Liability Insurance, which shall be cover as provided for per the policy wording of the PPU Group Commercial Legal Expenses Insurance, a copy of the policy wording and schedule can be found here:

Payment Details

Membership of the PPU is treated as beginning on the 1st of the current month.

Monthly Membership Cost
Monthly Legal Cover
£-
£-
Total Monthly Direct Debit Payments £- 1

1 Your Direct Debit will be set up to claim £- on the 14-12-2017 to cover November and December and subsequent payments will be for £-.
Payment details will be taken once you have submitted the application form below.
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