Intuit UK Ltd.
PO Box 2234 Maidenhead BerkshireSL6 8WQ
  
QuickBooks Professional Advisors Programme Membership Application Form
Yes, I'd like to apply for the *
If you have any difficulties completing this form, please call us at (632) 746-4669 / (632) 531-2443
Please return completed and signed PAP Membership Application Forms via:
Mail:
Unit 923 Corinthian Executive Regency Condominium Ortigas Center, Pasig City
Fax:
+632 738-5914
Email:
quickbooks@embm.net
By completing this form, I certify that I am a qualified accounting professional, small business consultant, or trainer providing professional services to fee-paying clients and that I am applying for membership of the EMBM Professional Advisors Programme in order to provide clients with information and guidance on Intuit software. I am enclosing written proof of my professional practice, such as a copy of my company brochure, brief description and outline of my company on company letterhead, as well as how I intend to support Intuit's products. I understand that any failure to abide by the terms of this agreements is grounds for immediate revocation of membership.
1. Member Profile Contact Details
Contact Name:  *
Title/Position:  *
Company Name:  *
Address:  *
Country: 

ZipCode: 
Fax #: 
Primary Phone: 
*
Secondary Phone: 
Email Address:  *
Website: 
No. of Years in Business: 
Company Details (Brief Overview on Company Focus and Services Offered)

Previews Experience with QuickBooks:

Member of Professional Organization:

2. Products Supported and Have Experience With
 QuickBooks  QuickBooks Pro  QuickBooks Premier
 QuickBooks Payroll  Quicken  
3. Areas of Experience
 
 Certified Public Accountant (CPA)
 Value Added Reseller
 Computer Consultant
 Educator/Trainor
 Book Keeper
 Other (specify)
 
4. Services Provided
 Software Installation and Set-up  Audits, Reviews, Compilations
 Phone Consultation  Data-Entry/Bookkeeping Services
 Training  Income Tax Preparation
 Seminars  Network
 On-site Training  Re-Sale
5.Towns and Cities you wish to support (10 Maximum)
1 2
3 4
5 6
7 8
9 10
6.Payment Information
Please charger my (select one):
 Visa  Mastercard
 American Express  Switch
Card Number:
Exp. Date: 
Issue (for Switch):
 
Card Holder's Signature:
Account Holder's Name:
Cheque Payments - Please make enclosed bank cheque payable to Intuit Ld. for total of 349.00 (Inc VAT).
(Please note that cheque payments take longer to process)
 
 
By signing, I certify that the information I have given on this form is complete and true.
Date:
Signature:
 
Referrals
Intuit is constantly on the look out for prospective Advisors and Resellers. If you are aware of any companies interested in these programmes please enter their details below. These details will only be used to send them information about the Intuit.
Name:
Company Name:
Email Address:
Position Within Company:
Type of Company:
Phone Number: