British Ports Association

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Full Membership Application (Port Authorities and Port Groups)

"*" indicates required fields

Port Group / Authority*

Address

Address of port office or head office

Street Address Address Line 2 City County Post Code

Phone Number*

Email Address*

Enter Email Confirm Email

Name of Primary Contact*

First Last

Declaration of Turnover

Turnover (£)(most recent audited accounts)*

Note: this is required by our constitution in order to determine the membership band.

Total less any revenue generated from pilotage services*

For ports that are part of a private group or local authorities with several ports please give the combined total turnover of all ports under the ownership of that body (you do not need to complete multiple application forms for the different ports).

Name of Person Completing Form*

If different to primary contact, above

Position

Telephone Number

Email Address

(if different to email above)