Membership Application Form

Company Name*:

Company Number:

Principal UK office address:

Head office address:

Other UK offices:

Contact Name*:

Phone Number*:

Email*:

Website:

Principal business activity:

Membership tier applied for: FullAssociateSupplier

I, the undersigned, apply on behalf of the company named above for BCECA membership. I permit BCECA to process, file and retain the information provided on this form. If accepted as a member by BCECA, we agree to be bound by its Articles of Association and Charter and supply further data and business information as requested by the Association. We will pay all fees and subscriptions within terms and as specified on the annual renewal notice. We acknowledge and agree to comply with the requirement to submit 12 months notice of resignation from the second year of membership onwards. We undertake to advise the Association of any changes to the contact details for the named contact.