To make an affiliation payment, please complete the form below and enter the correct payment amount based on the size and type of group.


Date *
Group name *
Name of payee *
Affiliation fee *
Youth or community group 45
Business or social enterprise 110
Please notify us of any changes since you last affiliated i.e. contact details, opening times.
Have you reviewed your policies? *
Yes
No
Have you renewed your insurance? *
Yes
No
If yes, please enter the new details below making sure to include; Name of your Insurer and Broker, Policy Number, Renewal Date, and liability values.
Amount * £

APPS

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Contact Us

Tel: 01604 499699
Fax: 01604 797901
Email: yd@nayc.org
Address:
King's Park Headquarters
King's Park Road
Moulton Park
Northampton
NN3 6LL