Registration

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Client Service Member Registration form

Nameyour full name

Company NameCompany Name

Business IndustryBusiness Industry

DesignationDesignation

Address

PO BoxPO Box

StreetStreet

WebsiteWebsite

Contact Details

Email Addressa valid email

Primary NumberPrimary Number

Secondary NumberSecondary Number

Recommended by NameRecommended by (Name)

Add To IPA Client Service Member Directory

Yes! Please add my information to IPA’s Client Service Member directory No, do not add me to the IPA Client Service Member Directory.

Receive Mobile Text Announcements?

I would like to receive text messages regarding IPA events and announcements, (maximum of 2-3 per month, data charges may apply from your cellular provider)No, do not add my cellular number to IPA text announcements.

Receive Email Announcements?

Yes, add my email address to IPA announcements.No, do not add my email address to IPA announcements.

Documents to Be attached

Profile Photoupload

Profile Photo

Passport copyupload

Passport copy

Personal Profileupload

Personal Profile

Company Trade License copyupload

Company Trade License copy

TRN Certificateupload

TRN Certificate

I hereby declare that the above details submitted are true and correct. I hereby undertake that I shall be abide by the service rules and regulations of the IPA and I shall also be abide by the social media protocol of the IPA and is willing to accept any decision taken by IPA with respect to social media activities in line with the rules and regulations of the federal and local government authorities.

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