APAC Application Form

Ashford Partnership Against Crime Ltd

c/o Community Safety Unit, Police Station,

Church Road, Ashford. TN23 1BT.

Email: admin@apac-kent.co.uk
Application to join the Ashford Partnership Against Crime Ltd

On behalf of 'The Business' shown below.
The Ashford Partnership Against Crime is Limited by Guarantee. It is a non-profit organisation, with all funds used for the running of the Scheme.

Company Number 12740461
Business Name*
'The Business'
Business Address*

Street Address 1

Street Address 2

Post Code
Your Name*

First NameLast Name
Position*
What is your role in the business/company?
Email*

Confirmation EmailPlease re-type your email address
Business Phone Number*

CodePhone Number
Mobile Phone Number

CodePhone Number
I apply for the following Membership Type:
Membership Type*

Full (with radio)Associate (no radio)Community
Please click this link to download a copy of the APAC Ltd 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

9. Radio Equipment Full Conditions of Hire
APAC documents*

I have been provided with the above documents

Radio Hire

Radio Link

Data Integrity*
Please view our current Terms and Conditions by going to our website using this link.
Fees - T & Cs*

I have viewed the 'Terms and Conditions' as shown on the APAC Ltd website.
I apply for membership of the Ashford Partnership Against Crime Ltd.
Signature using mouse, pen or touch-screen*
Name

First NameLast Name
Date

DayMonthYear
Date

Membership of the Scheme is usually routinely approved by the Board, on recommendation by the Scheme Coordinator.

The Partnership reserves the right to decline membership.

Should the Co-ordinator or Board decline to agree the application, you will be notified at the earliest opportunity.

SCHEME CO-ORDINATOR & BOARD MEMBERS

Membership to be assumed from the date of Form Submission (unless subsequently declined by the Coordinator and/or Board).

Where Membership is not approved by the Scheme Coordinator, they must provide a short report to the Board, outlining reasons.

Where membership is declined by the Board, a Board Member should compile a short report for retention by the Partnership, outlining reasons.

INVOICING DETAILS

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

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

Street Address

Street Address Line 2

CityCounty

Post Code
Email
example@example.com
Phone Number

Area CodePhone Number
Your reference
How we identify you to the above company.
Purchase Order Number
Other Information
Should be Empty:

Application to join the Ashford Partnership Against Crime Ltd