DPAC MEMBERSHIP APPLICATION FORM TO COMPLETE

Dover Partnership Against Crime

Maison Dieu House, Biggin St, Dover CT16 1DW

Email: dpac.org.uk@gmail.com
Application to join the Dover Partnership Against Crime

On behalf of 'The Business' shown below.
The Dover Partnership Against Crime is Limited by Guarantee. It is a non-profit organisation, with all funds used for the running of the Scheme.

Company Number 4298676 Charity no. 1092237.
Business Name*
'The Business'
Business Address*

Street Address 1

Town

Post Code
Your Name*

First NameLast Name
Position*
What is your role in the business/company?
Email*

Confirmation EmailPlease re-type your email address
Business Phone Number*

CodePhone Number
Mobile Phone Number

CodePhone Number
I apply for the following Membership Type:
Membership Type*

FullAssociate
Please click to download a copy of the DPAC Membership Pack, which contains the documents shown below.
I have been provided with information setting out the functions and working practices of the Scheme and I confirm that my organisation will abide by the conditions set out in the Partnership documentation and protocols.

Click here to download forms

The documentation includes:

1. Purpose & Values

2. Complaints Procedures

2. Data Integrity Statement

3. Exclusion Scheme

4. Incident Reporting

5. Radio Scheme Protocols

6. Radio Use Guidelines

7. DPAC Website

8. Contact Details

9. Radio Equipment Full Conditions of Hire
DPAC documents*

I have been provided with the above documents

Radio Hire*

Radio Link*

Data Integrity*
DPAC FEES. For our Fees please click here
I apply for membership of the Dover Partnership Against Crime.
Signature using mouse, pen or touch-screen*
Name

First NameLast Name
Date

DayMonthYear
Date

Membership of the Scheme is usually routinely approved by the Board, on recommendation by the Scheme Coordinator.

The Partnership reserves the right to decline membership.

Should the Co-ordinator or Board decline to agree the application, you will be notified at the earliest opportunity.

SCHEME CO-ORDINATOR & BOARD MEMBERS

Membership to be assumed from the date of Form Submission (unless subsequently declined by the Coordinator and/or Board).

Where Membership is not approved by the Scheme Coordinator, they must provide a short report to the Board, outlining reasons.

Where membership is declined by the Board, a Board Member should compile a short report for retention by the Partnership, outlining reasons.

INVOICING DETAILS

Please provide details below of who we should the annual invoice for payment of your Membership Fees.
Select where we should send invoices.*

Send Invoices direct to me using details in this formSend Invoices to the below named
Name
Person, company or accountant
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Email
example@example.com
Phone Number

Area CodePhone Number
Your reference
How we identify you to the above company.
Purchase Order Number
Date your membership starts*

DayMonthYear
Date
Should be Empty:

Application to join the Dover Partnership Against Crime