Registration for ACT MembershipPlease complete this form to confirm your ACT Signatory status. Primary Contact Details * Please provide us with details of your firm's primary contact (these may be your own). First Name Last Name Email * Phone * Country (###) ### #### Job title * Company * Please confirm your company name as you would like it to appear on all Signatory related materials. Billing Information * Please complete this information for invoicing purposes. Unless otherwise advised our invoice will be sent for your attention. First Name Last Name Email * Company Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you require a quote before invoicing? * Yes No Do you require a purchase order (PO) number on the invoice? * Yes No Will City Hive need to register with your company procurement system in order to raise an invoice with you? * Yes No Membership Terms and Conditions Please review our terms and conditions here. By clicking submit on this application, you confirm that you have read, understood, and accepted the terms and conditions of the ACT Signatory membership. Thank you for providing your details. We will respond shortly. If you have any queries, please contact us at Hq@cityhive.co.uk.