Organisational Affiliate Application Form - Online Payment

Organisational Affiliate members are entitled to name five individual nominees. Each nominee will receive member benefits such as reduced delegate rates at Institute events and seminars, other networking opportunities, our member’s newsletter and multiple access to research and information sources.
Additional nominees, above this entitlement, may be registered at a supplementary subscription of £50 each.
One corporate representative (preferably a Director) should be named as a principal nominee.
In addition to the nominees, all employees of Organisational Affiliates can attend conferences, seminars and other meetings run by the Institute of Business Consulting at member rates.

Subscription fees for Organisational Affiliates:

Annual subscription £377.00, includes five Nominees
Additional Nominees £50.00 each

Subscriptions are for a 12 month period from date of joining.

Please note - Please have all the requested information to hand before completing this form as you will not be given the opportunity to save the information you enter prior to clicking submit.

When sending accompanying evidence with your application, please ensure your attachments do not total more than 5Mb in size. Anything larger will be rejected. If this causes you a problem please contact our membership department on +44(0) 207 421 4252.

* signifies a required field

Organisation details

Company Name

Postcode

Street Number

Address

Email *

Telephone

Fax

Website

Number of Staff

Summary of your organisation’s products and/or services. This introductory information will be used alongside your company logo in the relevant section of the Institute’s website and should be a maximum of 75 words, please.

Summary of possible products/services to be offered to Institute members

Details of Company Nominees

Please give full details of your five nominees below and indicate who will be the Principal Nominee.

Please note: Additional nominees may be added at a supplement of £50.00 each. Please contact the membership department on 01536 207334 to discuss.

Principal Nominee

Title

Name*

Company address (if different from main address above)

Postcode

Street Number

Address

Email *

Telephone

Fax

Nominee 2

Title

Name*

Company address (if different from main address above)

Postcode

Street Number

Address

Email *

Telephone

Fax

Nominee 3

Title

Name*

Company address (if different from main address above)

Postcode

Street Number

Address

Email *

Telephone

Fax

Nominee 4

Title

Name*

Company address (if different from main address above)

Postcode

Street Number

Address

Email *

Telephone

Fax

Nominee 5

Title

Name*

Company address (if different from main address above)

Postcode

Street Number

Address

Email *

Telephone

Fax

Organisation Undertaking

We wish to become an Organisational Affiliate of the Institute of Business Consulting

We agree that, on becoming an Organisational Affiliate, we will further the objectives of the Institute as far as we are able and will not bring the Institute or profession of consultancy into disrepute.

We certify that all the statements made in the application form are correct.

We enclose our company logo (in tif format) for inclusion under Organisational Affiliates on the Institute’s website and confirm our agreement to the information provided by us above being used for this purpose.

Data Protection Policy

In submitting this form, you are consenting to receive marketing information about the Institute's products and services by post, phone and email, unless you indicate otherwise by ticking the appropriate box. We recognise your right to withdraw this consent at any time in the future and you will be given the opportunity to do so every time we send you an electronic marketing communication. Do not send me information by:

post
phone
email

Occasionally, the Institute may share your contact details with organisations that are business partners. If you do not wish to be contacted by these partners, please tick the appropriate box. Do not send me information by:

post
phone
email

Please note

If you click submit you will be required to make an online credit or debit card payment. If you do not wish to proceed with this application do not submit this form.
If you wish to proceed but not make payment at this stage, submit the form and then close the next screen that opens.