Company Membership Application

Consent for storing submitted data *

Yes, I give permission to store and process my data

See our Privacy Policy listed on our website.

Company Information

Company Name *

Registered Number *

Company registered office address *

Including postcode

Company registered office email *

Company registered office phone number

Postal address

If different from registered office

Phone

If different from registered office

Preferred Payment Method? *

Invoice

Card Payment

Nominated individual to receive IPEM affiliate membership on behalf of the company (‘company representative’):

Full name including title *

Job title *

Direct telephone