1. PROFORMA
I confirm, on behalf of my organization (please write in organization name):
that we wish to participate in the first 2 years of AIM Visitor Verdict for the period October 2013 to September 2015:
We would wish the following site(s) to be included:
Site 1 Site 2 Site 3*
Site name:
Address:
Postcode:
Site contact name:
Site contact email:
Site contact tel:
*If you wish to include more than 3 sites please write the names of the sites here and enter full site details in the tables provided on
the next page of this form. Additional site names:
Signature: ……………………………………………………………………………
Name:
Title:
Date:
Telephone Number:
Email:
Are you a member of AIM (yes/no):
Please email your completed proforma to Sam Hunt (email: henleymanor@btinternet.com ) or return by post to:
Sam Hunt
Executive Director, Association of Independent Museums
Henley Manor
Crewkerne
Somerset
TA18 8PQ
AIM Association of Independent Museums
3 Chestnut grove, Ludlow, Shropshire SY8 1TJ
Tel: 01584 878151 Email: aimadmin@aim-museums.co.uk Web: www.aim-museums.co.uk
Registered in England No. 1350939 | Charity No: 1082215
No
Yes

2. Additional site details (only complete if applicable):
As noted on the first page of this form we also wish the following site(s) to be included:
(please complete full details for each site below)
Site 4 Site 5 Site 6
Site name:
Address:
Postcode:
Site contact name:
Site contact email:
Site contact tel:
Site 7 Site 8 Site 9
Site name:
Address:
Postcode:
Site contact name:
Site contact email:
Site contact tel:
AIM Association of Independent Museums
3 Chestnut grove, Ludlow, Shropshire SY8 1TJ
Tel: 01584 878151 Email: aimadmin@aim-museums.co.uk Web: www.aim-museums.co.uk
Registered in England No. 1350939 | Charity No: 1082215