Membership Package - Level 3 Signup

Company Details

Name*

Address*

Telephone*

Policies & Procedure Compliance

Does the above named company have policies & procedures in place & fully implemented covering the following. Please review each item below and confirm by ticking the relevant boxes.

For each category listed below, please disclose by ticking whether your organisation (or any individual within your organisation, to the best of your knowledge) has been subject to an enforcement action or conviction within the last five (5) years.

Health & safety legislation

Modern Slavery Act 2015

Anti-bribery legislation, including but not limited to UK Bribery Act 2010

Equality & Human Rights Commission or an equivalent body

Main Point of Contact

Job Title*

First Name*

Surname*

Direct Email*

Direct Telephone*

Invoice Details

First Name*

Surname*

Account Address*

Direct Email*

Direct Telephone*

VAT No

Purchase Order*

I have understood and apply to join the Pump Centre in accordance with the conditions stated here