e-Affiliate membership reinstatement

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Your membership reinstatement
To reinstate your ACT membership, simply complete the form below and pay the pro-rata membership subscription charge.

e-Affiliate subscription - £150 (not available in this currency) *

Personal Details

Title *

First name(s) *

Family name *

Date of birth (DD/MM/YYYY) *

Email *

Business Details

Employer

Job Title

Employer Address

Postcode

Country

What is your main reason for reinstating your membership at this time? *

Tick here to include the following home contact details:

Declaration
I apply for membership of the ACT. I confirm that I have read and agree to comply with the ACT’s regulations and Ethical Code. I confirm that I have not been convicted of an offence involving dishonesty or breach of the Companies Acts, Financial Services Acts, Financial Services and Markets Act or similar or replacement statutes or had an adverse finding made against me by a professional body or by an official regulatory authority. If this confirmation cannot be given, please give details in an email to Ria Robinson, Director of Membership and Governance. *

Data protection
All or part of the information provided by you will be used in accordance with our Privacy Policy for administration of your membership, to keep you up to date with ACT activities as well as for entries in the ACT Directory. You can edit your contact preferences at any time by clicking on your username at the top of our website.
ACT's privacy policy.

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e-Affiliate membership reinstatement