Join ISPA

I/we hereby apply to become members of the Internet Services Providers Association (ISPA-UK). I/we agree to be bound by the Memorandum and Articles of Association and Bye Laws of the Association and to abide by the ISPA Code of Practice (Fields marked with an asterisk * are mandatory). All information given to us is for ISPA use only unless otherwise specified.

Company Details
Company Name:	*
Services Provided:	*
Primary Contact
Name:	*
Email:	*
Managing Director
Name:	*
Email:	*
Head of Regulatory Affairs
Name:	*
Email:	*
Marketing Contact
Name:
Email:
Phone:
Accounts Contact
Name:
Email:
Phone:
Complaints Contact (for ISPA not customers)
Name:
Email:
Phone:
Sales Information (to put on memberslist on ISPA's website)
Email:
Phone:
Internet Watch Foundation (to receive notices of illegal content)
Name:	*
Email:	*
Police and Law Enforcement Contact
Company Contact Details
Address:
Town:
County:
Postcode:
Phone:
Fax:
Website:
Payment Details
Membership Type:	-select- Full member - (L) small £500 + VAT Full member - (M) small £1000 + VAT Full member - (U) small £1500 + VAT Full member - (L) medium £2000 + VAT Full member - (M) medium £2500 + VAT Full member - (U) medium £3000 + VAT Full member - Large £3500 + VAT Corporate member £6000 + VAT Associate member £250 + VAT *
Purchase Order Number: