FESA.ie Membership Application

Membership Application

Details of Applicant
Company Name
Address Line 1
Address Line 2
City
County
Country
EirCode
Registration Number
Business Address (if different from above)
Date of Incorporation
Company Logo
Contact Details
Mobile
Telephone
Email Address
Website
Fax
Directors & Secretary
Name 1
Position 1
Name 2
Position 2
Name 3
Position 3
Name 4
Position 4
Details of principle if a subsidary
Principal Name
Principal Address
Contact Details - Membership Application
Contact Name 1
Contact Landline 1
Contact Mobile 1
Contact Email 1
Contact Name 2
Contact Landline 2
Contact Mobile 2
Contact Email 2
Nominated Contact - FESA Website + Ongoing Communication * By providing these details you consent to be contacted by FESA
First Name
Last Name
Email
Landline	Your primary contact number
Mobile Number
Mailing List	do you want to receive our newsletter and occasional announcements?
Applicants Business Model Please Note: The Sector / Activity marked with an * are for information only. The association does not represent or cater for any of these sectors / activities.
FDAS % Mix of Business
FDSA Years of Experience
Gaseous Fire Extinguishing % Mix of Business
Gaseous Fire Extinguishing - Years of Experience
PFE's Portables - % Mix of Business *
PFE's Portables - Years of Experience *
Others - % Mix of Business *
Others - Years of Experience *
Applicants Services
Product Supply Only - Fire Detection & Alarm	Product Supply Only - Fire Detection & Alarm yes no
System Design - Fire Detection & Alarm	System Design - Fire Detection & Alarm yes no
System Installation - Fire Detection & Alarm	System Installation - Fire Detection & Alarm yes no
System Commissioning - Fire Detection & Alarm	System Commissioning - Fire Detection & Alarm yes no
System Verification - Fire Detection & Alarm	System Verification - Fire Detection & Alarm yes no
System Service - Fire Detection & Alarm	System Service - Fire Detection & Alarm yes no
Product Supply Only - Gaseous Fire Suppression	Product Supply Only - Gaseous Fire Suppression yes no
System Design - Gaseous Fire Suppression	System Design - Gaseous Fire Suppression yes no
System Installation - Gaseous Fire Suppression	System Installation - Gaseous Fire Suppression yes no
System Commissioning - Gaseous Fire Suppression	System Commissioning - Gaseous Fire Suppression yes no
System Verification - Gaseous Fire Suppression	System Verification - Gaseous Fire Suppression yes no
System Service - Gaseous Fire Suppression	System Service - Gaseous Fire Suppression yes no
FESA Fees Fee structures are set annually at the AGM and the figures below are indicative of the current fee structure.
Annual Membership Fee (valid 2019)	Annual Membership Fee (valid 2019) 0 - 150K €400 p.a. 150 - 250K €600 p.a 250 - 500K €850 p.a. 500 - 1M €1600 p.a. 1M- 2M €2200 p.a. 2M plus €3500 p.a. Associate Member €400 Please select the applicable fee for your annual membership.
References Please provide 2 independent fire industry referees which FESA may contact in relation to your membership application.
Reference 1 Company Name
Reference 1 Contact Name
Reference 1 Phone
Reference 1 Email address
Reference 2 Company Name
Reference 2 Contact Name
Reference 2 Phone
Reference 2 Email Address
I, the undersigned, am authorised to act on the Company's behalf
Name in Full
Position
For and on Behalf of
Application Date
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Declaration

On behalf of the company listed above, I confirm the following.

The information contained in this application is true and correct.

I / We have read and understood the Association constitution and the Association membership guidelines.

The Company shall comply with the constitution of the Fire Engineering Systems Association Ltd (FESA)

The company will at all times act in the interest of FESA, strive to uphold the aims and objectives of the Association, comply with the Charter of performances, be bound by the terms and conditions of membership, shall not misrepresent itself as being certified by FESA and will work within the limits of the competence of the company.

We agree to have relevant information about our company published on the FESA website.

Membership Application

Details of Applicant

Contact Details

Directors & Secretary

Details of principle if a subsidary

Contact Details - Membership Application

Nominated Contact - FESA Website + Ongoing Communication

Applicants Business Model

Applicants Services

FESA Fees

References

I, the undersigned, am authorised to act on the Company's behalf