Re-registration form - Association of Business Executives
Re-registration form - Association of Business Executives
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