Business membership application form

Part 1 - BUSINESS APPLICATION DETAILS

Organisation name *

Organisation type *

If other, please specify

Head Office address *

Postcode/Zip

Country *

Switchboard Telephone number *

Email *

Organisation Declaration By applying for Business Membership of the ACT, the organisation named above agrees to comply with, and ensure that its nominated representatives comply with the ACT's regulations, including the ACT Directory terms of use and the Ethical Code. ACT’s regulations and Ethical Code. *

Part 2 - REPRESENTATIVE'S DETAILS
To be completed by the primary nominated business representative

Title (Mr, Ms, Mrs, Miss, Dr or Other) *

First name(s) *

Surname *

Preferred First Name (if different)

Date of birth (dd/mm/yyyy) *

Designatory Letters (BA, BSc, ACA etc)

Please indicate your preferred mailing address *

Business

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BUSINESS DETAILS

Job title

Business Address (if different from the Head office address above)

Direct telephone number

Mobile telephone number (work)

Email *

Main Areas of responsibility *

Name and title of the person to whom you report *

HOME DETAILS

Home address

Postcode/Zip

Country

Home telephone

Personal mobile

Personal email

Please note, we cannot process your registration without a valid email address or your preferred mailing address

ACT Qualifications

Please tick if you are interested in enrolling on an ACT qualification

Please tick if you would recommend the ACT qualifications to other members of the team

If the answer to either of the above questions is no, please state why

Information on the ACT qualifications is available at https://www.treasurers.org/professional-standards

The annual Business Representative fee will be waived for Representatives enrolling on an ACT qualification

The ACT Directory

Tick here if you do not wish to be included in the Directory

Please select the details you would like to be included in your directory entry:

Work mobile

Personal telephone

Personal email

TERMS AND CONDITIONS

WE CANNOT ACCEPT YOUR APPLICATION UNLESS YOU AGREE TO ABIDE BY THESE TERMS

The ACT Directory is published online, exclusively for the personal use of members, and the data contained must not be communicated to anyone who is not a member of the ACT. It should not be used for the purpose of marketing a member's personal business or that of his/her employer or used for any form of mass communication.

Misuse of the information contained within the Directory constitutes a breach of the ACT's Ethical Code and is likely to result in disciplinary investigation. The copyright in the Directory is reserved to the ACT. By ticking below you agree to abide by the Terms of Use of the ACT Directory

Individual Declaration By applying be to the representative of a Business Membership to the ACT I confirm that I have read and agree to comply with the ACT’s regulations and Ethical Code. *

Data protection
All or part of the information provided by you will be used in accordance with our Privacy Policy for administration of your membership and to keep you up to date with ACT activities as well as entries in the ACT Directory. The ACT will also, where requested, provide information about the progress of your studies and your membership status to your employer. You can edit your contact preferences at any time by clicking on your username at the top of our website. ACT’s privacy policy.

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Business membership application form