Title ____ Forename _________________ Surname _________________ Membership Form Title ____ Forename _________________ Surname _________________ Address _____________________________________________________ Post Code __________________ Country _________________________ Email ________________________ Tel No. _______________________ Occupation __________________________________________________ Please tick this box if you are interested in doing some volunteering work for LPHR Membership options: Standard £ ______ annual donation (min £20.00) please tick Concessions £ ______ annual donation (min. £10.00) Friend of LPHR £ ______ annual donation (min. £100.00) and an optional voluntary donation of ____________ Total: ______________ Please show your selected method of payment by placing a tick in the box next to one of the following: By online standing order* (preferred) By cheque to 'Lawyers for Palestinian Human Rights' By cash *If paying by online standing order the LPHR account details are: The Co-operative Bank - Account Number 65538850; Sort Code 08-92-99. Please email LPHR at contact@lphr.org.uk to inform us that your standing order has been created and of its start date. Signed _______________________________ Date __________________ Please send your completed membership form to contact@lphr.org.uk

Technical and legal advice and assistance Lawyers for Palestinian Human Rights (LPHR) works to protect and advance human rights for Palestinians. Our vision is to achieve a positive transformation of the human rights landscape for Palestinians through a combination of: Technical and legal advice and assistance Human rights education and advocacy Research, monitoring and urgent actions in right violations Utilising human rights complaint processes of domestic and international institutions. The overarching principles that govern this work are respect for human rights and the rule of law, achieving freedom, equality and human dignity, and pursuing accountability for violations of human rights and international law. If you would like to find out more about LPHR please visit our website at www.lphr.org.uk. LPHR is a charity registered in England and Wales (registered number: 1142158). LPHR relies on members’ support and funding to carry out its work. To support LPHR please complete the membership form over the page. There are three categories of membership: Standard – annual fee £20 – which includes: Access to the LPHR mailing list including news, articles, invitations to events and opportunities to volunteer and submit articles for the LPHR blog. The right to attend and vote at LPHR’s Annual General Meeting, and the opportunity to stand for the Executive Committee. Concessions – annual fee £10 – which includes: This membership option is available to full time students and the unwaged. Friends of LPHR – minimum £100 annual donation – which includes: Invitation to exclusive annual Friends of LPHR event.