Apply for Membership

All details given are for use by QBA Ireland only and will not be shared with any third party.

Business Name

Applicants Business Type

Business Address

Business Email

County

Contact Name

Contact Phone Number

Years in Business

Customer Reference 1
Business Name 1

Contacts Name 1

Contact Number 1

Customer Reference 2
Business Name2

Contacts Name2

Contact Number2

Customer Reference 3
Business Name3

Contacts Name3

Contact Number3

The Application Fee is €180 + VAT
With the Annual Membership €290 + VAT to be paid on the completion of the application process.

Additional Message (optional)