The National Mobility Equipment Association - home page
The National Mobility Equipment Association - home page
Home page ...Contact us ...Join the association on-line ... The National Mobility Equipment Dealers Assocation - nmedauk
The National Mobility Equipment Association - home page Loading!

Join The Association - Apply Online!

Please complete all of the sections on this form and then click "Send" to continue.

  • Please consult our Rules and Procedures documentation before completing this form - here
  • This is a long form, so please take care when entering your information and do not use the "Back" button on your browser!
Business name
Parent Company (if any)
Business Address (no./street)
Town/City
County
Post Code
Company Reg. No.
NMEDAUK Contact
Alternative Contact
Email Address
Web Site Address
Telephone
Fax

Principals/Directors Information...
Type of Business

Sole Trader
Partnership
Private Company
Limited Company

Owner's full name
Partner's name
Managing Director
Sales Director/Manager
Service Director/Manager
Company Secretary
Customer Services
Others

Business Information...
Date Business Started
Length of time at present location
If you have been at your present address for less than 3 Years please enter your PREVIOUS address in the box opposite.
Main Line of Business
No. Full-time Employees
No. Part-time Employees
Annual Turnover
Year Ended

Breakdown of Turnover...
Vehicle Equipment & Modifications
Wheelchairs & Scooters
Other Handicapped Products
Non-Handicapped Products

Manufacturing...
Do You Manufacture? No Yes

Agents For...
Company Name 1
Company Name 2
Company Name 3
Company Name 4
Company Name 5
Company Name 6
Company Name 7
Company Name 8

Do You Fit...
Your Own Products? Yes No
Suppliers Products? Yes No
Do Mobile Fitting? Yes No

Accreditation...
Motability Accredited? No Yes

Demonstrations...
On Your Premises? No Yes
Away from Your Premises? No Yes

Trade names...
Do You have any Trade Names? No Yes
 

Your Declaration...

I declare that the information given above is true and complete, enclose a promise to send a non-returnable fee of £250 to NMEDA UK* (*address and payment details will be provided on the confirmation page after this Form) I would like to be accredited to the appropriate membership as outlined in the NMEDA UK Association rules and procedures
_
find a nmedauk member ..

Important notes alert !

The information you provide on this application form will form the basis of your membership profile as and when your application is approved and processed.

It is of paramount importance therefore that the details entered here are as accurate as possible. If unsure, please leave a section blank.

Completing this form completes the first stage of your application but does not guarantee acceptance as a member of nmedauk.

Home
Email us !info@nmedauk.org