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Application form

All fields marked with an asterisk must be completed

Company Details

Company Name*:
Address*:
Tel*:
Email*:
Main contact*:  
Mr Mrs Ms
   
Names of directors/partners*:
 
Date on which the company was established*:
 
Is the company*: Limited Liability?
  Partnership?
  PLC?
     
All previous names under which the company has traded:
 
Have any of the company's principals been bankrupt?
Yes No
 
Names and registered numbers of any asociated/subsidiary companies that will also be subscribing to the association:
 
Names of any other associations/organisations to which your company subscribes:
 
Please list briefly your company's main activities*:
 
Please state your insurance cover for: Public Liability*:
  Employer's Liability*:
     
I hereby apply to join the CSSA and agree to abide by the Code of Practice and the conditions of membership, as laid down in the Memorandum and Articles of Association currently in force, or as may, from time to time, be laid down by the Association.
   
Name*:
Position*:
Date*:
 
   
Subscription: Annual subscriptions are payable in accordance with the certified annual turnover. An invoice will be sent to you following approval of your application and is payable, in full, within 30 days or, where agreed, by monthy, quarterly or half-yearly standing order payments.

© 2002 CSSA, Cleaning and Support Services Association