1. APPLICANT/SUBSCRIBER DETAILS
Names of Directors, Proprietors or Partners :
Main Contact :
Company Name :
Company Name to be shown on Membership Certificate :
Address :
Postcode :
Tel (work) :
Tel (home) :
Mobile :
Fax :
Email :
Own Website :
Preferred UKTC web address :
.uktc.com
Year established:
Years in Industry :
Turnover P/A:
VAT Reg? :
Trading area:
2. ASSESSMENT DETAILS
It is essential that all questions are answered truthfully, to the best of your knowledge and that you disclose all facts which The Confederation might regard as relevant to acceptance or assessment of risk. If you have any doubts whether any facts are relevant, please contact The Confederation office. Failure to disclose such information may mean that certain benefits will not be provided.
Declaration. In submitting an application to join the Confederation you are hereby providing consent for us to carry out any relevant searches on any or all individuals or trading styles of your business at any home or business address associated with the company,with any credit reference agency that we deem appropriate. Such credit agencies may keep a record of that search and may share that information with other parties.
Brief description of your company profile to be added to your website home page :
Have you or any other on this application ever been :
(A) Bankrupt, (B) Liquidated, (C) In Receivership? :
Y
N
Are or have you been involved in any court proceedings in the last three years? :
Y
N
Have you ever been refused or expelled from any trade body? :
Y
N
May we inspect a contract now or at any time during your membership? :
Y
N
If yes to any of the above, give details :
Do you have the following policies
Health & Safety:
Y
N
Equal Opportunities :
Y
N
3. CREDIT CARD PAYMENT
With the first years subscription of:
£
OR:
With the first years subscription of:
£
Card Number :
Card Holder Name :
Statement Address :
Valid From :
Expiry :
Last 3 Digits of Signature Strip :
Telephone Order of Authorised Signature:
Date :
4. CODE OF CONDUCT
5. ANNUAL SUBSCRIPTIONS
First Year:
£
Second & Subsequent Years UKTC:
£
Includes : Joining Fee :
£
Certass/Fensa :
£
Associate :
QANW :
£
Corporate
:
NICEIC / Elecsa :
£
Retail :
UKTC :
£
Please Specify Other:
Other :
£
6. STANDING ORDER (DO NOT SEND THIS FORM TO YOUR BANK)
To (Insert the name address of your bank) :
Please pay to the account of The UK Trades Confederation (Services) Ltd,
National Westmister Bank, 315 Station Road, Harrow, HA1 2AD
Sort Code: (60-10-10) Account No: 85515493
The sum of (in figures)
And then the sum of (in figures
Would banks please quote Membership Number and Members Name when making payment
Account Name :
Address :
Account No :
Authorised Signature(s):
7. REFERENCES
We require 4 customer references, which will be contacted prior to your membership acceptance.
AGREEMENT TERMS AND CONDITIONS
Date :
Signed by subscriber :
Proposed by:
The Subscriber confirms that the Terms and Conditions of this agreement and the Code of Conduct have been read and understood