London Business Interruption Association
Application for Membership
Application for Corporate membership shall be made to the Honorary Membership Secretary and submitted to her for
approval by the Committee. If the Corporate applicant is then elected, membership shall commence forthwith.
Applicants will be notified of membership by e-mail so please include an address below.
Membership of the Association is not permitted to be included in an individual Member’s Curriculum Vitae
To be completed by the Corporate Applicant
Company:
Address:
Representative:
E-mail address:
Telephone:
A copy of the Association’s Constitution is attached
Please sign this undertaking
We …………………………………………………………………………. wish to become Corporate Members of the
London Business Interruption Association for the time being in force
Signature :
Date :
Title:
Please return completed form to :
Ann Stone – Hon. Membership Secretary
Bluefin Insurance Services Limited
C I Tower
St George’s Square
New Malden
Surrey KT3 4TP
e-mail address ann.stone@.bluefingroup.co.uk