Standard Application Form


Home Address
Employment Details
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I am applying for membership of NCOA. I agree to join NCOA and declare that I will observe the terms of its rules and constitution. I agree to set up a direct debit which will be taken on the 1st of the month and acknowledge that this amount may be fixed from time to time by the NCOA. I understand that failure to do so will result in my membership of the NCOA not being recognised.

When you submit this application form you must also complete a Direct Debit application. Use the link below to complete your Direct Debit application.

Click here to be taken to the direct debit form (opens new window)

Please note that the NCOA has appointed the BACS Approved Direct Debit Bureau, Eazy Collect Services Limited (www.eazycollect.co.uk), to collect your payments and NCOA will be shown on your bank statement.

Monthly Subscription rates: Grade 5 and above - £14.85, Grade 6 and Part-Time Workers £10.85

On joining the NCOA you are automatically provided with 3 months free membership of the Insurance Benefit Trust (IBT) totally free of charge.


Death benefit nominee

NCOA membership pays a death benefit of £2,000 to your nominee.

Please enter your nominated nominee below

On joining the NCOA you are automatically provided with 3 months membership of the Insurance Benefit Trust (IBT) totally free of charge.

The benefit package provided through the Trust is comprehensive and you may find it will replace several of your existing insurance policies.

Please take time during this free period to review your current arrangements and decide for yourself if this package saves you money. (For full details visit www.ncoa.org.uk )

You must fully complete the form below to take advantage of this offer. Acceptance can not be guaranteed until confirmation is received from PW & Co. If at the end of your free period you decide you do not wish to continue cover, simply contact Philip Williams & Company on 01925 604421.

No IBT Subscriptions will be taken for the first 3 months of membership

To receive your 3 months free membership, complete the application form using the following link . You can email the form to membership@ncoa.org.uk or post it directly to Philip Williams & Co, the address is shown on the form.

Your Spouse/ Cohabiting Partner can also take advantage of the 3 month free period and the Application Form is available on the NCOA website or by contacting Philip Williams & Company on the above telephone number

Data Protection: The NCOA holds personal data about all members. This data is used to process your membership, provide you with information, to enable us to carry out membership activities and to provide us with management and statistical information. All membership data will be held in line with the NCOA's DPA policy.

If you haven't already please use the link below to complete your Direct Debit application.

Click here to be taken to the direct debit form (opens new window)