Affiliate Membership Application

Affiliate Membership Application Form

Company name *

Email address *

Addres *

Postcode *

Main contact *

Job title *

Phone number *

Mobile number

Technical contact (if different from main contact)

Technical contact email

Web address

Company Status

Please tick and complete as appropriate

Manufacturer

1. Product type

End use

2. Product type

End use

Distributor

1. Type

2. Type

1. Relevant SPRA member

2. Relevant SPRA member

Research / Insurance / Consultancy

Other

If other, please provide details here

Declaration I/We the undersigned having carefully read the Memorandum and Articles of Association and the Bylaws incorporating Membership Criteria and Code of Conduct adopted at the AGM held 21/06/17 do hereby agree to abide by the same.

Accept declaration

Today’s date *

Privacy and cookie policy *

You agree that we process your personal data. We do not pass these on to third parties.

How to apply

Read the membership criteria for Affiliates.
Complete and submit the application form above.
SPRA will invoice your company for a (non-returnable) audit fee of £250 on receipt of the membership form. Once this invoice is paid, SPRA will contact you to arrange a date for SPRA Technical Director to carry out the audit.
Following a successful audit, SPRA will invoice your company for £1550 and look forward to welcoming you as our latest new member!
If you are experiencing any problems with this online form, as an alternative please downloads this writable .pdf return to membership@spra.co.uk