The Voice of SME's in Engineering

Membership application & Business Record Form

Application made on behalf of:

Company Name

Authorised by:

Individual’s name Title Date

Applicant:

Company name in full Trading style (if different) Company Registration number VAT Registration number Address Postcode Telephone Fax Website e-mail

Please state clearly all the products, processes and services offered by your company, together with commitments to modern manufacturing initiatives such as TQM:

Main contact(s):

Name Title Name Title Name Title

Subscription

I / we undertake to pay the EIA an annual Membership fee of

(excluding VAT), reviewable on the anniversary date

Quality Accreditation

Please state clearly the British, International or other quality approvals or accreditation held by your company:

Plant & Capacity

Please list the plant and capacities available to undertake the service(s) your company offers:

Marketing

Details of associated companies Membership of other Associations or Institutions Exporting to (countries) Employee numbers Annual Turnover (£K)

Regional Directors Comments