Isle of Man Business Centre Application Form

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.

Email

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

Email

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.