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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, any other questions not applicable to you please leave blank.
 
  Membership Type:  
       
    Company Individual
       
  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 registered at.
    Country: *
   

 

  
    Physical Administration
Address:
*
This is the address where you conduct the day to day running of your business activities.
   
If same as above
check this box
    Country: *
       
   
Mailing Address:


If same as above
check this box
*
This is the address that all correspondence will be sent to from us, including your membership certificate and welcome pack.
    Country: *
       
  Directors Details:  
       
    Director 1 name: *
    Director 2 name:
    Director 3 name:
    Company Administrator / Secretary:
       
  Contact Details:  
       
   

Company Web site Address:
    Email Address: *
    Telephone 1:  *
    Telephone 2: 
    Fax:
   

Contact Person 1:

 *
   

Contact Person 2:
       
  Additional Information:
     
   
How many years have you been trading? *
   
Do you trade Nationally? *
   
Do you trade Internationally? *
   
How many staff do you directly employ? *
   
Do you own, rent or lease your business premises? *
   
Are you a member of any other associations? *
   
   
Association Name: *
Association Website: *
Association Telephone: *
Your Membership No.
   
   
Are your clients *
The General Public Other Businesses Government
Other
   
Is your annual turnover *
   
Would you offer discounts to other I.B.A. Members? *
     
  Use of the I.B.A. Logo  
     
   
Do you intend displaying our membership logo on your website. yes no
Do you intend displaying our logo on your company literature yes no
     
  Security Settings:  
 
 


If awarded Membership you will be issued a unique Membership number, this will also act as your login Username for this website and will remain fixed.

Passwords can be changed as often as you wish, please select a login passwords between 6 and 12 digits.
 
  Password: 
*
 
  Repeat Password: 
*
     
  Business Category Details:
     
    Select which type of business you are.*
You can select more then one category if they are applicable to your business operations.
   
You can select more then one category if they are applicable to your business operations.
 




















 
     
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  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: *
 
 
   
 
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