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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.

Subscription Category	Optical Turnover Band	Annual Subscription £'s	If payment received by 31/03/07 (-4%) £'s
Affiliate Membership	n/a	240	230
A	< 500,000	485	465
B	> 500,000	705	676
C	> 1,000,000	825	792
D	> 2,000,000	960	921
E	> 3,000,000	1,180	1,132
F	> 4,000,000	1,430	1,372
G	> 5,000,000	1,780	1,708
H	> 10,000,000	2,985	2,865
I	> 15,000,000	4,195	4,027
J	> 20,000,000	5,970	5,731
K	> 25,000,000	7,145	6,859

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
Affiliate Membership	n/a	None
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 - K	> 15,000,000	5

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