Isle of Man Business Centre Application Form
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Transcript of Isle of Man Business Centre Application Form
Membership Application Form
iombusinesscentre.com
Membership Application Form
Section 1 Type of membership
Isle of Man Business Centre • Capital House • Circular Road • Douglas • Isle of Man • IM1 1AG
[t] 01624 654345 [f] 01624 654346 [e] [email protected] iombusinesscentre.com
Payment Option Corporate Membership Standard Rate
Annual £1,000 + VAT - payable upon application
Pay As You Go £300 + VAT - payable quarterly by Direct Debit
Payment Option Individual Membership CoC & IoD Standard Rate
Annual Payable annually upon application £250 + VAT £350 + VAT
Payable monthly, by Direct Debit only £25 + VAT £35 + VAT
Pay As You Go Payable by the day £20 + VAT £20 + VAT
Payable in advance £60 + VAT £75 + VAT
Applicant Details
First Name
Section 2
Surname
Company Name
Address
Postcode
Company No.
Telephone No.
If applying for a corporate membership please state the number of key cards required:
Fax No. Email
Administrator Details for Corporate Membership
First Name
Section 3
Surname
Company Name
Address
Postcode
Company No.
Telephone No. Fax No. Email
NOTE: Monthly and quarterly payments are for a 12 month minimum membership subscription period.
NOTE: Corporate membership is based on sets of five cards per subscription - if you need more than five cards please contact us to discuss your requirements
Corporate membershipIndividual membership
Membership Application Form
Isle of Man Business Centre • Capital House • Circular Road • Douglas • Isle of Man • IM1 1AG
[t] 01624 654345 [f] 01624 654346 [e] [email protected] iombusinesscentre.com
If your require any assistance completing the application form please contact the Isle of Man Business Centre on +44 (0) 1624 654345 or email [email protected]
Services RequiredSection 5
Hot desking
Direct telephone line
Virtual desktop
Please tick any of the following services you may require:
Private meeting rooms Relaxed seating area
Wireless internet access
Projector & screenRecorded telephone lines
Boardroom lunch menus
Function room hire Video conferencingConcierge services
Other
Other professional body
Are you or your company a member of any of the following professional organisations:
Professional OrganisationsSection 4
Chamber of CommerceInstitute of Directors
Please fill in the whole form excluding official use box using a ball point pen and send it to:
Bank or Building Society account number
Name and full postal address of your Bank or Building Society
Instruction to your Bank or Building SocietyPlease pay Isle of Man Business Centre Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Isle of Man Business Centre and, if so, details will be passed electronically to my bank/building society.
Reference Number
Banks and building societies may not accept Direct Debit Instructions for some types of account
This guarantee should be detached and retained by the payer
The Direct Debit Guarantee
To: The Manager
Address
Postcode
Bank/Building Society
Branch sort code
Instruction to your Bank or Building Society to pay in regular installments by Direct DebitIsle of Man Business Centre
Capital HouseCircular RoadDouglasIsle of ManIM1 1AG
Name(s) of account holder(s)
Service User Number
2 7 0 1 2 5
FOR Isle of Man Business Centre OFFICIAL USE ONLYThis is not part of the instruction to your Bank or Building Society
Signature(s)
• This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society.
• If an error is made by Isle of Man Business Centre or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid.
• You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.
• If the amounts to be paid or the payment dates change, Isle of Man Business Centre will notify you 10 working days in advance of your account being debited or as otherwise agreed.
Date