Membership Application Form

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I.B.A. Membership Application Form

Please complete as much information as possible in order to reduce complications and accelerate the
application process.

Only questions with a * beside them are obligatory.

1 - Membership Type:

Company Memberships are for companies that have been officially incorporated and hold a Registration Number.

Individual Memberships are for private individuals, freelance agents, independents and sole traders etc...

Company

Individual

2 - Company Details:

Registered Company Name:

Company Registration No.:

Trading Name:
If different from registered name

Registered Address:

This is the address that your company is officially registered at:

Country:

Business Address:

This address where you conduct your day to day business activities.

If same as above check this box

Country:

Mailing Address:

This is the address that all correspondence will be sent to.

If same as above check this box

Country:

Please fill in if your your company is registered as an Onshore or Offshore company
Is your company registered as an “Onshore” company or an “Offshore” company?	*

3 - Directors Details:

Name of Director 1:

Name of Director 2:

Name of Director 3:

Administrator / Secretary:

4 - Contact Details:

Website Address:

Email Address:

Telephone 1:

Please include Area Code: *

Telephone 2:

Please include Area Code:

Fax:

Please include Area Code:

Contact Person 1:

Contact Person 2:

5 - Additional Information:

Please fill in how many years you have been trading
How many years have you been trading?	*

Please fill in if you trade nationally
Do you trade Nationally?	*

Please fill in if you trade Internationally?
Do you trade Internationally?	*

Please fill in how many staff you directly employ
How many staff do you directly employ?	*

Please fill in if you own rent or lease your business premises
Do you own, rent or lease your business premises?	*

Please fill in if you are a member of any association
Are you a member of any other associations?	*


Please fill in the Association Name
Association Name:	*
Please fill in the Association Website
Association Website:	*
Please fill in the Association Telephone
Association Telephone:	*
Your Membership No.

Are your clients *

The General Public	Other Businesses	Government
Armed Forces	Charities
Other

Please fill in your annual turnover
What is your annual turnover?	*

Please fill in if you would offer discounts to other I.B.A. Members
Would you offer discounts to other I.B.A. Members?	*

Please fill in your annual advertising budget
Do you have an annual advertising budget?	*

Please fill in if you pay for any form of Internet Advertising
Do you pay for any form of Internet Advertising?	*

6 - Use of the I.B.A. Logo...

Do you intend displaying the I.B.A. logo on your website?	yes no
Do you intend displaying the I.B.A. logo on your company literature?	yes no

7 - Security Settings:

If awarded Membership you will be issued a Unique Membership Number. You will be able to use either your "Membership Number" or our "Email Address" as your "Username" to Login to your Online Account.

Please enter you preferred Password below: (Between 6 and 12 digits - Letters and Numbers only)

Password:

Repeat Password:

* Can be changed when you Login later.

8 - Business Category Details:

Please select your business category: *

You can select more then one category if they are applicable to your business operations.

If your business category can not be found, select "Other" and then give details in box that appears...

A Test Category
AA Test Category
AAA Test Cateogry
AAAA Business
Accountancy and Tax
Company Incorporators
Construction
Consultant
Couriers
Entrepreneur
Financial Advisors
Fitness & Leisure
Gaming / Gambling
Home Improvement
Hotel and Accomodation
Import / Export
Instructors & Trainers
Insurance
Internet Based Business
Investment
Legal Profession
Office and Corporate Services
Property & Real Estate
Retail
Security Company
Transportation
Vacation / Travel Industry
Other

9 - Marketing Feedback:

How did you hear about us?

10 - Gift Token & Agent ID's & Promotional Codes:


Promo Code Your browser does not support iframes.	Verifying Your Code
	Only complete these codes if applicable?
ID Code:

11 - Please Check all Boxes below:

I am legally authorised to apply for membership on behalf of the company detailed above.

I have read, understood and agree to the "Terms of Application"

I have read, understood and agree to the "Terms of Membership"

Name of Person Submitting Application:

On submission of application the I.B.A. will conduct a database search to determine whether the details contained within qualify for automatic membership? If our criteria is not met the application will be forwarded for further review to the I.B.A's. Membership Services Team. Submission of application does not constitute guaranteed membership and the I.B.A. reserves the right to refuse membership at all times and without explanation.

We thank you for submitting your applcation...

We look forwards to serving you as a new Member...