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: 670 Sgt. Bumatay Street,
Mandaluyong CIty 		Fax: (632) 533-7968 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 agreement is grounds for immediate revocation of membership.
1. Member Profile Contact Details
 
Contact Name:
Title/Position:
Company Name:
Address:
 
County: Post Code: Fax #:
Primary Phone #: Secondary Phone #:
Email Address:
Website Address:
Number of Years in Business:
Company Details (Brief Overview on Company Focus and Services Offered):
Previous 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 Expertise
 
Certified Public Accountant (CPA)
Value Added Reseller
Computer Consultant
Educator/Trainor
Bookkeeper 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 (Please provide details below) Re-Sale
   
 
 
 
5. Towns and Cities you wish to support (10 Maximum)
 
1 6
2 7
3 8
4 9
5 10
 
6. Payment Information
 
Please charge 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 Ltd. for the 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 Authorised Programmes.
 
Name: Position Within Company:
Company Name: Type of Company:
Email Address: Phone Number: