| Category of Membership Applied for: |
* |
Company Details |
| Name of Company |
* |
| Registered Address |
* |
| Postcode |
* |
| Trading Name (if different) |
|
| Company VAT No. |
|
| Company Registration No |
|
| Website Address |
|
| Email Address |
** |
| Office Fax No. |
|
| Office Tel No. |
* |
| Type of Organisation |
* |
| Home Address (if Sole Trader or Partnership) |
|
| Postcode |
|
| Head Office Address |
|
| Postcode |
|
| No. of years Trading |
* |
| No. of Locations |
* |
| Annual Turnover |
* |
| Year to which this relate to |
* |
Principal Representative |
| Title |
* |
| Other |
|
| Surname |
* |
| Forename |
* |
| Job Title/Position |
* |
| Email Address |
* |
| Telephone |
* |
Associated Parties |
| Are you, your organisation, or any other directors/partners connected with print manufacturing or print sales companies? If yes, please give details. |
|
References |
| Please give names of two existing IPIA Members, who would support your application, as references; |
| Company |
* |
| Contact Name |
* |
| Tel. No. |
* |
| Company |
* |
| Contact Name |
* |
| Tel. No. |
* |
| Please select your annual turnover (this sets the Membership fee) |
* |
Declaration |
I confirm that I have rear, understood and accept the IPIA Code of Practice, the Bye-Laws of the Independent Print Industries Association, and believe that the organisation to which this membership application applies, meets the criteria for membership in the category and group stated.
*
Please allow 21 days for your application to be processed.
Thank you – Andrew Pearce – Chief Executive
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