APAC Application Form

Business Address *

Email *

Confirmation Email Please re-type your email address
Business Phone Number *

Code Phone Number
Mobile Phone Number

Code Phone Number
I apply for the following Membership Type:
Membership Type *

Full (with radio) Associate (no radio)
Please click this link to download a copy of the APAC Membership Pack, which contains the documents shown below.
I have been provided with information setting out the functions and working practices of the Scheme and I confirm that my organisation will abide by the conditions set out in the Partnership documentation and protocols.

The documentation includes:

1. Purpose & Values

2. Complaints Procedures

2. Data Integrity Statement

3. Exclusion Scheme

4. Incident Reporting

5. Radio Scheme Protocols

6. Radio Use Guidelines

7. APAC Website

8. Contact Details
APAC documents *

I have been provided with the above documents

Data Integrity *
Please download a copy of our 'Fees - Terms & Conditions document' using this link.
Fees - T & Cs *

I have been provided with a copy of the 'Fees Terms & Conditions' document.
I apply for membership of the Ashford Partnership Against Crime.
Signature using mouse, pen or touch-screen *
Name

First Name Last Name
Date

Day Month Year
Date

INVOICING DETAILS

Please provide details below of who we should invoice for payment of your Membership Fees.
Select where we should send invoices. *

Send Invoices direct to me using details in this form Send Invoices to the below named
Name
Person, company or accountant

Address