Membership Application Form

(Company Membership & Subscribing Membership)

"*" indicates required fields

Membership Category & Company Type

Company Details

Registered Address*
Company Email*
Leave empty if none.

Primary Contact Details

Name*
Email (direct)*

Who is authorised to amend contact details on behalf of your organisation?

Select if authorised contact is same as primary contact
Name
Email (direct)

Trading Details

MM slash DD slash YYYY
Have you applied for NPTA membership before?*
Have any Officers/ Directors been involved with or traded in any other business within the Public Health Pest Control/ Pest Management industry?*

Insurance

We advise that you consult your broker to ensure that your business is adequately covered. Required insurances: (1) Public and products liability protection against claims for injury or illness caused to people other than employees and damage to their property. One of the most valuable covers you can have, it also covers claims related to your goods even if these claims arise long after the goods have been supplied (2) Employers liability is a legal requirement to cover you against claims for injury at work from employees, including part-time staff and trainees (3) Professional indemnity insurance provides protection against the financial consequences of making errors and omissions. Professional indemnity insurance is essential for any professional organisation that gives advice or provides services in a professional capacity.
Drop files here or
Max. file size: 256 MB.
    Public Liability (£2m minimum)*
    Policy Number
    Limit
    Employer's Liability
    Policy Number
    Limit
    Product Liability
    Policy Number
    Limit
    Professional Indemnity
    Policy Number
    Limit
    Address of Insurers*

    Declarations

    Have any Senior Officers/ Directors been involved with any business, which has resulted in bankruptcy or liquidation of the organisation?*
    Do you agree to your membership details being held on our electronic system?*
    Do you agree to us contacting your insurance broker to obtain details of your renewal?*
    Do you agree to comply with the NPTA code of practice?*
    Please refer to our Resource Hub on the NPTA website to read our Code of Practice
    Do you agree to comply with the NPTA Articles of Association and memorandum*?*
    *Available on request.

    NPTA Membership Fees

    We will confirm the annual membership fees for your organisation via email based on the above details provided. Along with payment methods. Details of annual fees are available:
    Click Here for Membership Pricing

    To the board of directors of the NPTA Limited ( “The association”)

    The information I have given in this application is truthful, complete and correct.
    Consent*

    Signing the Application

    By completing the below section and submitting your application, you are signing to confirm the above statement, and that you are applying to be admitted as a full member of the NPTA Limited and agree to be bound by the provisions of its memorandum and articles of association.
    Name*
    DD slash MM slash YYYY
    MM slash DD slash YYYY

    For partnerships

    Please ensure both partners complete their details. Leave empty if not applicable.
    Name
    DD slash MM slash YYYY