Sustaining Members Application Form

COMPANY DETAILS

Please enter your details below and click 'Submit Form' Button at the end of this form.
Questions marked with * are required. We will process your application and get back to you.

Company Name*

Company

Name you wish to be listed as (if different)

Alternative Name (if any)

Address Line 1*

Address Line 1

Address Line 2

If applicable

Address Line 3

If applicable

Town/City*

Town/City

County or State

Postcode*

Postcode or ZIP

Country*

Country

Company Email Address*

Confirmation EmailEmail Address

Company Website Address*

Website URL

CONTACT TELEPHONE NUMBERS

Please enter contact telephone numbers where applicable. These may appear in the AMPS Website Directory. Note that you must supply a MAIN contact number.

Main Phone Number*

Main Phone Number

Mobile Phone Number

Mobile or Cell Number

FAX Number

COMPANY CONTACT NAMES

Please enter details of up to two company employees who will act as contacts with AMPS:

Contact Name 1*

Contact 1

Contact 1 Email Address*

Confirmation EmailEmail Address

Contact 1 Phone Number*

Phone Number

Contact Name 2

Contact 2

Contact 2 Email Address

Confirmation EmailEmail Address

Contact 2 Phone Number

Phone Number

Please enter details of who should receive our Invoice for Membership:

Accounts Contact

Accounts Email Address

Confirmation EmailEmail Address

Accounts Phone Number

Phone Number

Please upload a high quality graphic of your Company Logo if available

Upload any graphics file format

DECLARATION

We hereby apply for Sustaining Membership of the Association of Motion Picture Sound and, if accepted, we agree to abide by all rules and regulations as provided in its Constitution and to permit our details to be held in the AMPS Database solely for the use of the Association.

Click 'Accept' to agree to these conditions.*

Accept

Any queries, please contact sustaining@amps.net