Supplier / Service Provider Membership

Company Name *

Applicant's Name(Required)

First Last

Applicant's Job Title(Required)

Applicant's Telephone Number(Required)

Applicant's Email Address(Required)

Workshop Size (sqft)(Required)

Office Size (sqft)(Required)

Yard Frontage Total Size (sqft)(Required)

Number of Fork Lift Truck Engineers Employed(Required)

Number of Sales Staff Employed(Required)

Number of Other Staff Employed(Required)

Balance sheet total(Required)

Turnover (in materials handling)(Required)

Please provide details of 2 references from existing members of the UK Material Handling Association (UKMHA)

First Referee - Contact Name(Required)

First Last

First Referee - Company Name(Required)

First Referee - Contact Telephone Number(Required)

Second Referee - Contact Name(Required)

First Last

Second Referee - Company Name(Required)

Second Referee - Contact Telephone Number(Required)

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