APPLICATION FOR ENROLMENT FOR

DTMSI Members & Non-DTMSI Members
into
Professional Business & Technical Management (PBTM)


incorporating
Industrial, Computer, Technological and Associated Management

Head Office:
Warwick Corner, 42 Warwick Road, Kenilworth,
Warwickshire CV8 1HE England
Fax: 01926 513100
Email: imsgroup2004@yahoo.co.uk


PLEASE NOTE:
Once your application is received, we (PBTM) will contact you to arrange for payment.
 
Name : 
Surname : 
Title :
Full Name for Certificate Purposes :
Age :
Nationality :
Date of Birth :
Residential Address :
Postal Address :
E-mail :
 
Please select the grade you want to apply for by entering you DTMSI membership number alongside your existing DTMSI grade (Non-Members see below):
Grade held in DTMSI DTMSI Membership Nr Corresponding grade offered by PBTM Cost
Fellow Companion C.Prof.BTM (Dip.BTM) £65
Member Fellow F.Prof.BTM (Dip.BTM) £45
Associate Member Full Member M.Prof.BTM (Dip.BTM) £45
Associate Associate Member A.M.Prof.BTM
(Dip.BTM)		 £45
 
I am not a member of DTMSI, but would like to apply for PBTM Membership. The PBTM will
        review my application and notify me of the fee involved.




PLEASE NOTE:
Once you application is received, we (PBTM) will contact you to arrange for payment.

PLEASE PRINT THIS FORM BEFORE YOU SUBMIT IT AND RETAIN A
COPY FOR YOUR RECORDS