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Re-registration form - Association of Business Executives

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<strong>Re</strong>-<strong>registration</strong> <strong>form</strong><br />

FOR THE USE OF LAPSED ABE MEMBERS ONLY<br />

Use this <strong>form</strong> to re-activate your ABE membership if you wish to resume your association and examination<br />

sittings with us. Your membership would have lapsed if you had not paid your annual subscription fee within<br />

six months <strong>of</strong> the renewal date.<br />

<strong>Re</strong>-<strong>registration</strong> fee: £50<br />

Student details (please complete in BLOCK CAPITALS)<br />

ABE Membership No:<br />

Date <strong>of</strong> Birth:<br />

Mr/Ms/Mrs/Miss/Other:<br />

First/Given Name(s):<br />

Surname:<br />

Address:<br />

Postcode (UK only):<br />

Country:<br />

Telephone:<br />

Email:<br />

College Name:<br />

Self-study (please tick)<br />

FOR OFFICE USE ONLY<br />

Date received in <strong>of</strong>fice:<br />

Date processed by finance dept:<br />

Total payment received:<br />

By:


Payment<br />

The re-<strong>registration</strong> fee is £50 GBP.<br />

Any other fee that is owed to ABE must be included with this application, or your re-<strong>registration</strong> would not be<br />

processed. You can contact us for your account balance.<br />

• Payment must be made by £ sterling cheque/draft drawn on a UK bank, by postal order or by credit/debit card<br />

• <strong>Re</strong>-<strong>registration</strong> <strong>form</strong>s will not be accepted unless accompanied by the correct payment<br />

(Tick method <strong>of</strong> payment)<br />

I have enclosed cheque/draft no.<br />

- payable to the <strong>Association</strong> <strong>of</strong> <strong>Business</strong> <strong>Executives</strong><br />

I have enclosed postal order(s)<br />

Deduct from my credit/debit card details below:<br />

Enter total payment: £<br />

I certify that I have read this re-<strong>registration</strong> <strong>form</strong> and the in<strong>form</strong>ation I have provided is true and accurate.<br />

Signature: ______________________________________<br />

Credit/Debit card payment <strong>form</strong><br />

I authorise you to debit my account with the amount <strong>of</strong> £<br />

My card number is<br />

I wish to pay by Visa/Delta/MasterCard/Maestro/Solo/JCB/<br />

AMEX<br />

Expiry date Valid from Issue no. SECURITY CODE (last three digits on signature strip on<br />

Month Year Month Year (If applicable) back <strong>of</strong> card or four digits on front <strong>of</strong> AMEX card)<br />

Cardholder Name<br />

IMPORTANT NOTICE YOU MUST GIVE<br />

THE SECURITY CODE FOR PAYMENT TO<br />

BE ACCEPTED<br />

Cardholder Address<br />

Postcode (UK addresses only)<br />

Telephone no.<br />

Fax no.<br />

Email<br />

Cardholder signature<br />

Date<br />

Send your completed <strong>form</strong> and payment by post, fax or email to:<br />

Post: Finance Department, The <strong>Association</strong> <strong>of</strong> <strong>Business</strong> <strong>Executives</strong>, 5th Floor CI Tower, St Georges Square,<br />

High Street, New Malden, Surrey, KT3 4TE Fax: +44 (0) 20 8329 2945 Email: finance@abeuk.com

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