Membership application form

Your details: To enable us to process your membership application, please fill in all the appropriate fields below. Please note that items marked with a red asterisk must be completed.

Membership_Application

Company Name:
Company Address:
1st Contact Title:
Family name:
First name:
Position:
Telephone:
Mobile/cell:
Fax:
E-mail:
2nd Contact Title:
Family name:
First name:
Position:
Telephone:
Mobile/Cell:
Fax:
E-mail:
Membership applied for:
Membership applied for:
Level Applied for:

IMB Ordinary

IMB Major

FIB Level 1

FIB Level 2

FIB Level 3

FIB Level 4

CIB
EU Customers: Please provide your VAT registration number in the field below, without which UK VAT will be added to the membership fee.
VAT registration number:
Agreement:

Please tick this box to confirm that you agree with the following statement: "We understand that as a member we are obliged to maintain confidentiality concerning the information we receive."
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Membership application form

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