 |
|
|
| Trading Name * |
|
|
| Salutation |
|
|
| First Name * |
|
|
| Last Name * |
|
|
|
| Address * |
|
|
| |
|
|
| |
|
|
| Postcode * |
|
|
|
| Telephone * |
|
|
| Fax |
|
|
| Email |
|
|
| Website |
|
|
|
| Accounts Contact Name |
|
|
| Accounts Email |
|
|
|
| |
|
Is your company VAT registered? If so, enter your VAT No. here: |
| VAT Reg No. |
|
|
|
| |
|
How did you hear about the MIA and what attracts you to membership?: |
| |
|
|
| |
|
Who is your target customer?: |
| |
|
|
|
| |
|
Annual UK Turnover in Music Products * |
| |
|
Below £100K
£100K - £149,999
£150K - £199,999
£200K - £499,999
£500K - £999,999
£1M - £1,999,999
£2M - £4,999,999
over £5M
|
| |
|
The major part of which is as: |
| |
|
Manufacturer
Distributor
Publisher
Retailer Number of outlets
Internet Retailer
Allied Trade (please specify nature of business):
|
|
| Date established * |
|
|
| Hours of business |
|
|
|
| |
|
Contact details for two UK Music Industry businesses with whom you trade and to whom we may refer: |
| Company Name |
|
|
| Contact Name |
|
|
| Address |
|
|
| Telephone |
|
|
| Fax |
|
|
| |
| Company Name |
|
|
| Contact Name |
|
|
| Address |
|
|
| Telephone |
|
|
| Fax |
|
|
|
| |
|
Please list all your product groups by ticking the appropriate boxes: |
| Musical Instruments |
|
Acoustic Guitars
Bowed Instruments
Brass
Drums & Percussion
Electric Guitars
Keyboards
Other Instruments
Other Stringed Instr.
Parts & Accessories
Pianos
School Instruments
Synthesisers & Modules
Woodwind
World Drums & Percussion
World Instruments
|
| |
| Musical Equipment |
|
Band & Live Equipment
Cases & Bags
DJ Equipment & Samplers
FX Pedals & Tuners
Guitar & Bass Amps
Hi Fi / Personal Audio
Parts & Accessories
|
| |
| Pro Audio Hardware |
|
Amplification
Computer Peripherals
Computers
FX / Outboard Units
Microphones
Mixing Desks
Recording
Studio Spares / Miscellaneous
|
| |
| Pro Audio Software |
|
FX / Plug-Ins
Internet
Other
Programming
Recording
Virtual Instruments
|
| |
| Various Musical |
|
CDs, DVDs & Tapes
Lessons
Printed Music
Rental
Services & Repairs
|
| |
| Any other products: |
|
|
| Please list all of your Brand names: |
|
|
|
| Data Protection |
|
The MIA is reviewing its data protection procedures in order to comply with the 1998 Data protection act and the Privacy and Electronics Communications (EC Directive) Regulations 2003.
As a member of the MIA members' data will always be used with diligence and respect for our members' information. The MIA always aims to represent members' interests.
As a member of the MIA your contact details are currently displayed on the MIA website.
Please tick the box if you do not give your consent for your contact details to continue to appear on the MIA website.
The MIA is consistently working to improve benefits and services for members.
Please tick the box if you do not give your consent to be contacted (phone, mail, fax) by the MIA with marketing material associated with benefits and services.
The MIA does not sell its database, however, we will release the database to companies with whom we have arranged benefits. The database will only be used by a third party in conjunction with the benefit or service agreed.
Please tick the box if you do not give your consent for your details to be shared and/or contacted (phone, mail, fax, email) by a third party.
PLEASE NOTE THE FOLLOWING POINT RELATING TO ELECTRONIC COMMUNICATION AND SPECIFICALLY GIVES AN 'OPT - IN' OPTION IN LINE WITH NEW REGULATIONS
The MIA may choose to inform its members about various marketing activities by email or any other form of electronic communication. Each communication will give members a clear means to opt-out if they choose to.
Please tick the box if you give your consent to receive information by this medium. |
|
| |
|
|
