Your Business Trading Name

Postal Address

Postcode

Telephone

Mobile

Fax

Your Email Address

Number Of Employees (If Applicable)

Name Of Proprietor / Director - Name 1

Name Of Proprietor / Director - Name 2

(If your business is a Partnership or Ltd Company)

Do You Have Public Liability Insurance

Do You Have Employers Liability Insurance

Are you a Member of any Other Organisation

If YES Which Organisation(s)

Client Name 1

Telephone Number

Address

Type Of Work Carried Out

(e.g. Loft Conversion, Fitted Kitchen, Re-wiring, etc.)

Client Name 2

Telephone Number

Address

Type Of Work Carried Out

(e.g. Loft Conversion, Fitted Kitchen, Re-wiring, etc.)

Electronic Signature

(PRINT YOUR NAME IN FULL)

Date

ABOUT YOUR BUSINESS:

Type Of Business

(Builder, Plumber, Architect, etc .)

Month & Year Business Was Established (e.g. March 2001)

REFERENCE 1 :

REFERENCE 2 :

I/We the undersigned, apply to become ASSOCIATE MEMBERS of the “CONSTRUCTION INDUSTRY TRADE ALLIANCE” and agree to abide by the regulations. VIEW CODE OF PRACTICE HERE (opens in a new window).

I/We declare that to the best of my/our knowledge and belief the above statements made by me/us or on my/our behalf are true and complete and will form part of the contract between me/us and the “CONSTRUCTION INDUSTRY TRADE ALLIANCE”

‘SIGN’ & SUBMIT YOUR ONLINE APPLICATION :

PRESS THE ‘SUBMIT’ BUTTON TO CONTINUE:

Applicants for ASSOCIATE MEMBERSHIP must supply 2 references of workmanship from recent customers.

For more information on criteria for membership VIEW CODE OF PRACTICE HERE (opens in a new window)

It is a condition of membership that valid Public Liability Insurance, and where necessary Employers Liability Insurance be maintained.