National Federation of
Private Pet Crematoria

Associate Membership Request
Company name:
Company address:

Telephone:
Fax
Email:
Web site:

Sole trader: (Name)
Partnership: (Names of Partners)
Company: (Company number)

Date established:

Do you hold a current site licence?	Yes No
Carrier's licence?	Yes No

What services do you offer?
Cremation:
Interment:
Scattering:
Return of remains:
Burial:
Memorials:
Engraving:
Other: (please state)

I/we wish to be considered for membership to the NFPPC. I/we understand if approved the associate membership fee of £50.00 will become due and I/we agree to abide by the decisions of the membership. Fully paid up members and associate members are entitled to display the NFPPC logo on any stationery or advertising in connection with the member company. Logo supplied on CD on acceptance of membership. Membership and associate membership is renewable on a yearly basis. I/we understand that this may be cancelled at any time. I/we agree only to display the NFPPC logo if membership/associate membership is paid in full for the appropriate period.