Forum of Private Business membership application form

To join now, simply complete the form below. Alternatively, call us on 0845 612 6266 or download an application form, which you can complete and post or fax back to us. Click here for further contact details.

Please note: We are currently updating our business IT systems. Due to this update, we will not be able to grant new members access to the member-only areas on the website until w/c 13th September 2010. We apologise for this delay, but assure you that we will continue to process all other aspects of applications as usual during this period.

You should receive your membership pack within 10 days of us processing your application.

Please note that membership of the Forum of Private Business is available only to businesses in the UK.

Step 1: About you

Title:

First name:

Surname:

Business name:

Business address:

Postcode:

Telephone:

Email:

Step 2: About your business

Brief description of your business:

Date business started:

Number of full-time employees:
(including directors and owners)

Number of part-time employees:

Annual turnover (approx.): £

Step 3: Membership fees and how to pay

Choose your membership level:

Step 4: Tell us how you would like to pay

There are three easy ways to pay your membership subscription fees. Choose from:

Note: If you have chosen Introductory or Expert membership, please move on to Step 7. Expert membership prices are available on application.

Direct Debit
You can set up your Direct Debit online, or, if you wish to skip this step, we will contact you shortly to take payment.

Credit/debit card
On submitting this form, you will be redirected to a secure server to make your payment online.

Cheque
If you choose this payment method, we will contact you shortly to take payment.

Alternatively, call us on 0845 612 6266 to speak to a member of our friendly team.

Step 5: How did you hear about us?:

Agent	Internet Search
Email from the Forum	Media coverage
Event	Recommendation
Partner (please specify in the box below)	Refer a friend
Telephone call from the Forum

If other, please specify:
Reference (if applicable):

Data Protection Statement

The Forum of Private Business isa registered Data Controller, number Z6121221. Further information relating to our registration under the Data Protection Act (1998) can be found at www.informationcommissioner.gov.uk

Information collected by the Forum of Private Business is used exclusively for purposes of developing, promoting and fulfilling the Forums's membership package. Occasionally, and strictly limited to that purpose, we may share data with partners and suppliers that are responsible for delivering elements of the membership package. Additional information regarding our partners and suppliers can be found on the relevant pages of this website.

To find out more, please email us at info@fpb.org

If you do not wish to take part in our research, please tick this box.

By ticking this, box you agree to our terms and conditions.

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