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Company Name: *
Company Address: *
Contact Name: *
Telephone: *
Fax:
Email: *
Website URL:
Company Type: *
Company Description (around 80 words): *
Annual Turnover: *
VAT Number: *

Names and address of two company references, one of which must be an existing FMO customer.
Reference One: *
Reference Two: *

This information will only be used by the FMO board to assess approval and will be kept completely confidential.

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Subscription Category	Optical Turnover Band	Annual Subscription £'s
A	< 250,000	364
B	< 500,000	520
C	> 500,000	754
D	> 1,000,000	900
E	> 2,000,000	1,154
F	> 3,000,000	1,290
G	> 4,000,000	1,560
H	> 5,000,000	1,945
I	> 10,000,000	3,260
J	> 15,000,000	4,581
K	> 20,000,000	6,520
L	> 25,000,000	7,504

Registered Representatives hold voting rights, however member companies may only send one representative to meetings other than the AGM.

Subscription Category	Optical Turnover Band	Number of Voting Rights
A	< 500,000	1
B	500,000 - 1,000,000	2
C - D	1,000,000 - 3,000,000	3
E - H	3,000,000 - 15,000,000	4
I - L	> 15,000,000	5

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