Application for Business Class Membership

Application for Business Class Membership
Date of Application*

DayMonthYear
Company Details
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country codePhone Number
Sector*

AccountingArchitecture/ DesignBankingConstructionFinanceFood and beveragesGovernmentalHealth careICTIndustry/ ProductionLawLogistics and transportMarketing/ Communication/ PRReal estateRecruitmentResearch and developmentRetailTrade
Turnover
Are you registered for VAT?*

YesNo
VAT Number
Website
Please indicate which Social Media platforms you and/or your company uses*

FacebookLinkedInTwitterYouTubeInstagramNone
Main Contact
Full Name*

TitleFirst NameLast Name
Job Title*
Direct Line

Country CodePhone Number
Email Address*
Please indicate your main language.*

DutchEnglishFrench
Other Relevant Contacts
Accounting: Same as main contact*

YesNo
Email
example@example.com
Data Protection Officer: Same as main contact*

YesNo
Email
example@example.com
CEO: Same as main contact*

YesNo
Email
example@example.com
Marketing Manager: Same as main contact*

YesNo
Email
example@example.com
UK Country Manager: Same as main contact

YesNo
Email
example@example.com
Responsible for Travel Arrangements: Same as main contact

YesNo
Email
example@example.com
Membership Agreement
As a Business Member your company has exclusive access to all our business services, and our business network and events at reduced rates. This corporate membership is ideal for companies which primarily use our business services and/or wish to attend events.

If you have opted for the postbox facilities *, this agreement also entitles a member to use the BLCC address at Westwood House, Annie Med Lane, South Cave HU15 2HG as his/her address for correspondence purposes but not as his/her registered office address.

Mail and visits will be handled according to instructions specified by the client and the client will be responsible for all resulting forwarding and service charges. This agreement only applies to the company above and the mail contact(s) named in the agreement (see further) and the BLCC is not under any obligation to provide the service to any other company/person and is not responsible for any mail or calls received for any others.

Please note that the BLCC warrants that in the event of a change of its Westwood House address, you shall be notified 6 months in advance from the date of the new address being effective

Please note: Membership fees and agreement are for one year from date of invoice.
Please select your Membership.*

Company up to 100 employees: 500 GBP + 150 GBP joining fee + VATCompany up to 100 employees: 600 EUR + 180 EUR joining fee + VATCompany with 100+ employees: 1000 GBP + 150 GBP joining fee + VATCompany with 100+ employees: 1200 EUR + 180 EUR joining fee + VAT
* Optional - Postbox address for correspondence purposes at Westwood House

£150 GBP + VAT per year€180 EUR + VAT per year
Contact Details of your first and second contact in case mail arrives or there is a visit by an inspector or member of the public who want to contact you:
Mail Contact 1

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Mail Contact 2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
How would you like us to forward post?

The BLCC are entitled to open, scan and email correspondence to one of the main contacts as indicated aboveWe would like the BLCC to forward correspondence by post once a week to the address given below
Please provide address
Please select the preferred type of payment.*

Electronic bank transferCredit cardDirect Debit/ Domiciliëring/ Prélèvement Automatique
If Direct Debit, please select payment frequency.

One-off lump sumQuarterlyMonthly
Did anyone recommend the BLCC to you? If so, please enter their name here:
If you have any comments or questions, please submit them here:
Please confirm your acceptance to the terms of our privacy policy - see footer of the BLCC website home page*

I agreeI do not agree
Should be Empty:

Application for Business Class Membership

Company Details

Main Contact

Other Relevant Contacts

Membership Agreement