Application Form
PLEASE COMPLETE FORM IN BLOCK CAPITALS AND INDICATE AS APPROPRIATE
Member Details Business Categories
Please tick the category or categories applying to your business (up to 4 only please)
Contact Name (Surname) . . . . . . . . . . . . . . . . . . . . . .
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(Dr/Mr/Mrs/Ms/Miss) First Name . . . . . . . . . . . . . . . . . . . . . box3
Accommodation box3
Job Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Accounts Accounts box3
Horticulture and Agriculture
box3
Arts and Crafts box3
Language Services
Company Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Audio Visual Services box3
Legal Services
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Beauty and Health Care box3
Local Authority
box3
Book Keepers box3
Manufacturing
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Books box3
Marketing
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Business Services box3
Music Tuition
box3
Catering box3
Performing Arts
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Charity box3
Personal Development
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . box3
Children box3
Photography
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Postcode
box3
Clothing and Fashion box3
PR
box3
Communication Services box3
Print and Publishing
Telephone Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Computer Services box3
Promotional Merchandise
Fax Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Corporate Members box3
Recreation and Leisure
box3
Recruitment
box3
Design
Mobile Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Domestic Services and Care box3
Retail
box3
Secretarial Support
Email Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Engineering
box3
Security
Website . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
box3
Event Management
box3
Financial Services box3
Special Interest
box3
Stationery & Office Supplies
There are . . . . . . . . . . . . . . . . . . . . . . .staff in the business. box3
Florists
box3
Training
specify exact number.
box3
Food and Drink
box3
Transportation
Please note, only one business name can be
box3
Funeral Directors
box3
Veterinary and Animal Care
registered for each application
box3
Garden Services
box3
Health and Therapy box3
Weddings and Christenings
Home, Buildings and Interiors box3
Writers
Other . . . . . . . . . . . . . . . . . . . . . . .
Using up to 35 words, write a description of your business to be included on the website and in the next ISSBA
Please specify (we cannot guarantee any additional
categories will be included in the Directory)
directory
Subscription Rates
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per business: (all rates are inclusive of VAT)
1-3 staff = £30.00 + VAT (£34.50) box3 4 -10 staff = £36.00 + VAT (£41.40)
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I/We apply for membership of ISSBA
11- 50 staff = £72.00 + VAT (£82.80) box3 50+ staff = £144.00 + VAT (£165.60 )
and enclose cheque made payable to
"ISSBA" for £ . . . . . . . . . . . . . . . . . . .
Or pay by BACS transfer to ISSBA: Account Reference – ISSBA Membership
Account Number: 60481068 Sort Code: 20-44-51
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Date . . . . . . . . . . . . . . . . . . . . . . . . . .
Please help us to improve our advertising
How did you hear of ISSBA?
(please tick all that apply or comment)
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box3
An ISSBA member box3 The Chamber of Commerce
Please send this form together with a
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An Exhibition box3 A business advisor, bank or centre
cheque made payable to “ISSBA”, to:
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The library box3 Don’t know
Other - please specify
Karen Tournay-Godfrey,
Have we got your correct details?
c/o Suffolk Chamber of Commerce
If not, please visit the Our Members page on www.issba.co.uk,
Felaw Maltings, South Kiln
search for your company name and send the amended details
42 Felaw Street
to karen@suffolkchamber.co.uk
Ipswich IP2 8SQ
44
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