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Home
About
About PEIMF
Committee
Primary Authority Partnership
Working Together
Insite & The Green Pages
INSITE ~ Introduction
INSITE ~ Advertising
Editorial Schedule
Download INSITE
Download Green Pages
Join Us
Joining Information
Health & Safety
Membership Application Form
Members Directory
Contact
Membership Application Form
PART 1 ~ COMPANY DETAILS
Company Name
Address
Telephone
Email
Fax
Website Address
Representative’s name
Position
Names of all Directors or Partners (if applicable)
Director/Partner 1
Director/Partner 2
Director/Partner 3
Director/Partner 4
Director/Partner 5
Director/Partner 6
Company reg no.
VAT reg no.
No. of years in operation
PART 2 ~ OTHER COMPANY INFORMATION
Please list nature of business (be specific)
Do you carry out installation work?
Yes
No
Do you carry out maintenance work?
Yes
No
Do you carry out in-house service work?
Yes
No
Do you carry out electrical work?
Yes
No
Is your company NICEIC registered?
Yes
No
Does your company hold ISO 9000 status?
Yes
No
Currently in Process
Do you undertake safety training?
*
Externally
Internally
None
Do you undertake skill training?
*
Externally
Internally
None
Is your company a member of another electrical body?
Yes
No
If YES, please state which:
Employer & Public Liability Insurance: Company Name
Amount of cover held for Employee Liability
Employer & Public Liability Insurance: Policy Number
Amount of cover for Public Liability
Motor Insurance: Company Name
Motor Insurance: Policy Number
PART 3 ~ FINALISE YOUR MEMBERSHIP APPLICATION
We hereby apply for membership of the PEIMF and we authorise the federation to verify all necessary information relative to this application. It is understood that this application is subject to the federation’s constitution as related to membership.
Health & Safety Policy Statement
this MUST be provided with your application (accepted files: pdf, doc, docx)
Name of Applicant
Date of Application
The annual membership fee is currently £175 (+VAT). Payment in full must be received with your application* either as a cheque or BACS (full details from General Secretary).
*Fee will be returned in the event of your application being rejected
I wish to pay by
Cheque
BACS
Submit
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Members Only Resources
Industry Articles
Technical Reports
Minutes of PEIMF Meetings
Guidance & Regulations Hub
Industry Events & Publications
Members Newsletters
General Documents
