Apply to join SALTIS

Before completing this form, please see the notes on joining SALTIS.

Applicant
Full company name
Company known as
Company reg. number
Company website
   
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Registered address
Address 1
Address 2
Town
County/state
Country
Post-code
   
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Company activities
Company turnover
Company interests (please tick all that apply)
If "other", please specify
Short description of company activities:
   
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Main contact
First name
Last name
Job title
Email
Confirm email
   
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Other contacts to add to mailing list
First name Last name Email
     
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Declaration
I have read the notes on membership and wish to apply for membership of SALTIS on behalf of the company named under Applicant above. I understand that the company will be invoiced for membership subscriptions shortly after 5th April 2011.
Fields labelled in bold are required


Last updated: January 1, 2011