FELLOWSHIP APPLICATION

Part 1: Personal Details

Please note: Fields marked with a * must be completed

Title :
Forename :		*
Surname :		*

Address 1 :		*
Address 2 :
Town/City :		*
County/ State :		*
Country :		*
Zip/ PostCode :		*

Date Of Birth :
Email Address :		*
Telephone :

Part 2: Terms & Conditions

1. I confirm (to the best of my knowledge and belief) that the above information is accurate as at the date hereof.

2. I hereby formally apply for admittance as a Fellow of the Association with the accompanying right for me to use the initials F.A.A.Q.A. after my name and the right also for me to display the above illustrated Fellow variant of the Association's Quality Mark in compliance with The Membership Criteria.

3. I understand that upon receipt of this Application you will forward an e-mail to me which will contain my unique Payment Reference Number which I must quote when I submit my Fellowship Fee to the Association either by way of Direct Wire Transfer or International Money Order or Cheque.

4 I confirm that I will submit my Fellowship Fee (currently £150.00 GBP) to the Association when I have received my Payment Reference Numbner and (subject to the acceptance by the Association of my Application) I hereby authorise
the Association to submit the HARDCOPY of my Fellowship Cetificate to my above address.

5. I also authorise the Association to publish my above e-mail address and (if applicable) my above web site URL in my ONLINE Membership Certificate.

Part 3: Preview Your Application

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