AAQA
(ASSOCIATION FOR THE ADVANCEMENT OF QUALITY AWARENESS)

APPLICATION FOR CORPORATE MEMBERSHIP

NB 1 - A FULLY COMPLETED, SIGNED AND DATED PRINT OF THIS FORM TOGETHER WITH
THE CORPORATE MEMBERSHIP FEE MUST BE SENT TO:

AAQA, PO BOX 5639, SOUTHEND-ON-SEA, ESSEX SS2 4WX, UNITED KINGDOM

NB 2 - FEES ARE CALCULATED IN GREAT BRITAIN POUNDS (GBP) AND ARE PAYABLE BY CHEQUE
OR INTERNATIONAL MONEY ORDER DRAWN IN FAVOUR OF - AAQA.
_____________________________________________________

FULL TRADING NAME OF APPLICANT:

________________________________________________________________________________

(hereinafter referred to as "The Applicant")
FULL POSTAL ADDRESS OF THE APPLICANT'S REGISTERED OFFICE OR OTHER PRINCIPAL PLACE OF BUSINESS:
_____________________________________________________________
_____________________________________________________________
Town/City:
___________________________
County/State:
______________________________
Country:
___________________________
Post/Zip Code:
______________________________
Phone:
__________________________
Fax:
______________________________

Primary e-mail address:

___________________________

URL/Web site address:

http://___________________________

On authorised behalf of The Applicant I, the undersigned Agent, confirm that I have read and fully understand the Association's Corporate Code of Conduct and the Membership Rules (hereinafter referred to as "the Corporate Membership Criteria") and on authorized behalf of The Applicant's Executive Management I undertake that The Applicant shall abide by the Corporate Membership Criteria during the currency of its Corporate Membership.
I enclose a remittance for (GBP) £250.00 in settlement of The Applicant's Membership Fee and I hereby request and formally apply (on authorised behalf of The Applicant) for admittance of The Applicant as a Corporate Member of the Association.
To the best of my knowledge and belief I also confirm that the above information is accurate as at the date hereof.
I understand that upon receipt of this Application an acknowledgement will be submitted for my personal attention to the above Primary e-mail address and that thereafter this Application will be progressed with me on an individually structured basis.
Signature of The Applicant's Agent:

_______________________________


(PRINT) Full name of Authorised Agent:

___________________________________



Relationship of Agent to The Applicant:
(e.g. CEO, Director, Partner, Sole Owner)


_________________________________

FOR ASSOCIATION USE ONLY - Ref: ONSF/CORP
( ) Compliance Review
( ) Current Corporate Membership Fee enclosed
( ) Secretariat Approval

Board Approval by:______________________________

Date: ___________________