Membership Application Form
iombusinesscentre.com
Membership Application Form
Section 1
Type of membership
Individual membership
Corporate membership
Payment Option
Individual Membership
CoC & IoD
Standard Rate
Annual
Payable annually upon application Payable monthly, by Direct Debit only
£250 + VAT £25 + VAT
£350 + VAT £35 + VAT
Pay As You Go
Payable by the day Payable in advance
£20 + VAT £60 + VAT
£20 + VAT £75 + VAT
Payment Option
Corporate Membership Standard Rate
Annual
£1,000 + VAT - payable upon application
Pay As You Go
£300 + VAT - payable quarterly by Direct Debit
NOTE: Monthly and quarterly payments are for a 12 month minimum membership subscription period.
Section 2
Applicant Details
First Name
Surname
Company Name
Company No.
Address Postcode Telephone No.
Fax No.
If applying for a corporate membership please state the number of key cards required: 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
Section 3
Administrator Details for Corporate Membership
First Name
Surname
Company Name
Company No.
Address Postcode Telephone No.
Fax No.
Isle of Man Business Centre • Capital House • Circular Road • Douglas • Isle of Man • IM1 1AG [t] 01624 654345 [f] 01624 654346 [e] info@iombusinesscentre.com
iombusinesscentre.com
Membership Application Form
Section 4
Professional Organisations
Are you or your company a member of any of the following professional organisations: Institute of Directors
Chamber of Commerce
Other professional body
Section 5
Services Required
Please tick any of the following services you may require: Private meeting rooms
Relaxed seating area
Boardroom lunch menus
Direct telephone line
Recorded telephone lines
Projector & screen
Wireless internet access
Hot desking
Virtual desktop
Concierge services
Function room hire
Video conferencing
Other
If your require any assistance completing the application form please contact the Isle of Man Business Centre on +44 (0) 1624 654345 or email info@iombusinesscentre.com
Isle of Man Business Centre • Capital House • Circular Road • Douglas • Isle of Man • IM1 1AG [t] 01624 654345 [f] 01624 654346 [e] info@iombusinesscentre.com
iombusinesscentre.com
Instruction to your Bank or Building Society to pay in regular installments by Direct Debit
Please fill in the whole form excluding official use box using a ball point pen and send it to:
Isle of Man Business Centre Capital House Circular Road Douglas Isle of Man IM1 1AG
Service User Number
2
7
0
1
2
5
Name(s) of account holder(s) FOR Isle of Man Business Centre OFFICIAL USE ONLY This is not part of the instruction to your Bank or Building Society
Bank or Building Society account number
Branch sort code
Name and full postal address of your Bank or Building Society To: The Manager
Bank/Building Society
Address
Postcode
Instruction to your Bank or Building Society Please 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. Signature(s)
Reference Number Date
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 • 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 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. • 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.