Branch Membership 2012 - Freight Transport Association

Branch Membership – Application Form
Branch fee
£123.00 £ 123.00
Additional membership services +
OLCIS £240.00 each No required __________
International Service £109.00 each No required __________
Logistics Buyer Information Service £540.00 first sub No required __________
£270.00 subsequent No required __________
Additional contact £123.00 each No of contacts __________
Carbonfta £240.00 each No required __________
Guide to Van Excellence £240.00 each No required __________
Total
VAT
Manager’s Guide to Distribution Costs £151.00 each (no VAT) No required __________
Manager’s Fuel Price Information Service £173.00 each (no VAT) No required __________
Manager’s Guide to Distribution Costs and
Manager’s Fuel Price Information Service £270.00 each (no VAT) No required __________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
£_ _________
Transaid donation (to opt out please cross through price) £ 10.00
Grand total
£_ _________
Direct debit (a direct debit form will be sent to you)
3.5% discount with this option
Cheque enclosed (payable to FTA)
Please invoice me
Credit card
£_________
Purchase order number (if required) ______________________
£_________
Credit card no
Card type_____________________________________________________________
Start date / Expiry date / Issue no Security no
I hereby apply for membership and agree to abide by the terms of the Articles of Association of Freight Transport Association Ltd
(a copy of which is available on request).
Signature__________________________________________________________ Date_____________________
A VAT invoice will be issued to you on registration of your membership