Membership Application Form

Size: px

Start display at page:

Download "Membership Application Form"

Gyles Young
5 years ago
Views:

1 Membership Application Form

CPA Membership Application Membership Details APPLICANT S DETAILS Name of Applicant: Trading Name (if different) Business Post Code: Fax Number: Email Mobile Number: (IMPORTANT) Website address

2 CPA Membership Application Membership Details APPLICANT S DETAILS Name of Applicant: Trading Name (if different) Business Post Code: Fax Number: Mobile Number: (IMPORTANT) Website address (where applicable) Status of Business: Limited Company Partnership Sole Trader Company Registration Number: Are you VAT registered: Yes (VAT.) Please list below the names and addresses of the Board of Directors of your company* Can you confirm if you, or any of the Directors, have previously been involved in a company which has been a Member of the CPA Yes If yes, please give details* Can you confirm whether you or any of the directors have been involved in a company that has failed e.g Receivership, Liquidation, etc. Yes If yes, please give details* *Please provide any additional information on a separate sheet

3 CPA Membership Application Business Information 1 How long have you been trading? 2 Please provide a copy of your latest audited filed trading accounts Name & Address of Auditor If no audited accounts are available, please indicate last year s turnover: 3 How many people do you employ? 4 Do you have a Safety Policy Statement? (Applicable for companies with 5 or more employees) (Please provide a copy) 5 What is your main business activity? (i.e. more than 50% of your turnover) 6 What % turnover of your business centres on non-operated plant 7 On average, how many persons do you train per year? 8 How many plant operators/drivers do you employ? What % are CPCS certificated? 9 How many plant mechanics do you employ? What % are trained to NVQ Level 2 or City and Guilds Part II? 10 What is your main plant and equipment activity? (please tick appropriate boxes) Cranes Small Equipment & Tools If other please state 11 Who undertakes statutory inspections & thorough examinations (where applicable) Internal Personnel External Body 12 Please attach copies of: Employers Liability Insurance, Public Liability, Plant Insurance 13 Do you hold any ISO quality assurance certification? Yes If so please provide copies years Yes % % Powered Access Equipment % Earthmoving General Plant

4 CPA Membership Application References Membership is confined to businesses of good standing. In order to fast track your application the Association requires that each application be supported by two CPA members in your area. Please provide details of two local CPA members whose Principal will support your Membership application. You do not necessarily need to have a trading relationship with either but will be known to them. Your application will also be sent to all current CPA Council Members for their approval. If you do not know two CPA members please complete the section below under Applicant s Trade References. CPA MEMBER REFERENCES APPLICANT S TRADE REFERENCES In the event that you are unable to supply references from two local CPA members then your application for membership must be supported by two satisfactory trade references. Your application will be sent to all current CPA council members. It is a good indication of an applicant s credit worthiness to provide trade references from major public or private contractors or suppliers. Please provide the names of two trade references:

5 CPA Membership Application Declaration If any of your colleagues wish to recieve CPA information by ; please list their addresses below: Can you please confirm where you first heard of the CPA? 1 Trade Press (which one?) 2 Exhibition / Seminar (which one?) 3 Existing member (which one?) 4 Insurance provider (which one?) 5 Other, please specify Could you please indicate your top THREE reasons - numbering them in priority order 1, 2, 3 - for applying to join the CPA? 1 Membership required by our Insurance Company 2 Model Conditions for the hiring of Plant, Tools and Equipment 3 Other CPA s Terms and Conditions 4 Legal Information and Assistance 5 Health and Safety Information and Assistance 6 Training and Grant (CPCS) Information and Assistance 7 Technical Information and Assistance 8 Insurance Information and Assistance 9 Advertising and Marketing 10 Information on joining the Rail Plant Association Ltd (RPA) 11 Interested in Special Interest Groups - (BCPG, CHIG, CIG, STIG, TCIG) 12 Other Reason: (please specify) Thank you for completing the application to become a Member of the Construction Plant-hire Association. We will endeavour to process your application as quickly as possible. This process will commence once we have recieved the necessary information from your References. If you have any questions, then please do not hesitate to contact us. *The CPA RULES can be viewed or downloaded from our website - DECLARATION: I confirm that the above information is accurate and true to the best of my knowledge; and I also confirm that I have read the CPA Rules*, and agree to be bound by them. Name: Date: Signature: Title:

6 CPA Membership Application CPA Business Information and Subscription Levels CPA s membership benefits and services are detailed in the information pack form. The subscription year commences on 1 July. New members joining during a subscription year will pay pro rata, starting from 1 October each year. Your subscription to CPA s business and membership service is based on your total annual turnover (not just your plant hire turnover). Band Company Turnover Subscription (excl VAT) SB Less than 150, A Greater than 150,000 but less than 350, B Greater than 350,000 but less than 1.5m C Greater than 1.5m but less than 2.5m D Greater than 2.5m but less than 5m 1, E Greater than 5 but less than 7.5m 1, F Greater than 7.5m but less than 15m 2, G Greater than 15m 4, H n Plant-hire Corporate Member To process your application return this duly completed together with a cheque for ( 100 entrance deposit and 50 plus VAT administration fee). On acceptance into membership an invoice for your subscription will be raised. Please make cheques payable to: The Construction Plant-hire Association. The CPA aims to provide you with help when you need it, in matters which affect your business. CPA staff will become an extension of your business. Membership entitles you to contact CPA staff as often as you wish and obtain information, advice and assistance on Health & Safety Training matters, Contractual, Legal and Employment matters. You also have free use of the CPA Legal HelpLine. If you need further information, please contact the Membership Services Section.

British Vehicle Rental and Leasing Association

Application for broker membership British Vehicle Rental and Leasing Association 2017 Application for Broker Membership Having read the Conditions of Membership accompanying this application form, we wish