Associate Membership Application

Company/Name*
Contact Name*
Contact Email*
Any CC email addresses for your organisation (to receive updates).
Any CC email addresses for your organisation's accounts department (to receive invoices).
Telephone Number*
Mobile Number
Trading Address*
Website Address*
Facebook Address
Twitter Address
Legal Status*
- Limited Company
- Partnership
- Sole Trader
- Self Employed
Are you registered for VAT?*
- Yes
- No
What is your VAT registration number?*
Please upload a copy of your VAT Registration Certificate*
Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.
Nominator and Seconder

Please state the name, company, email and mobile of your Nominator and Seconder. The Nominator and Seconder must be existing UKCMA members.
Nominator Name*
Nominator Company*
Nominator Email Address*
Nominator Mobile Phone Number*
Seconder Name*
Seconder Company*
Seconder Email Address*
Seconder Mobile Phone Number*
Website details

Please provide the following information to be displayed on your UKCMA website entry:
Company Description*
Please provide a description of your company which will appear on your profile page.
Company Logo*
Accepted file types: jpg, jpeg, gif, png, ai, eps, pdf, Max. file size: 512 MB.

Please upload a high res version of your company logo.
Contact name – for potential client enquiries*
Contact number – for potential client enquiries*
Contact email – for potential client enquiries*
Website link*
Declaration

I declare that the information provided as part of this application, is to my knowledge accurate.

I confirm that we will comply with the constitution and follow the best practice policies, democratically established by the Board of the UKCMA and all legislation and Industrial requirements.
Please confirm*
- Yes, I confirm
Name*
Position*
Date*
DD slash MM slash YYYY
How did you hear about us?*

Associate Membership Application

Nominator and Seconder

Website details

Declaration