Agency Membership Application

We manually review all Agency Membership applications and request that you complete this form in full so that we can create your account. This application form will take approximately 5 minutes to complete.

Your Details

Choose your Membership

Your Agency / Company Details

Key Contacts for your Account

To help us manage your account please can you provide the details of the following Key Contacts within your organisation. You can always change these later.
Head of Service/CEO - Name and Function will be shown on your public Connect Directory profile. Official correspondence from ICPA will be addressed to this individual.
Membership Point of Contact - This is the administrator for your ICPA account and our primary point of contact. This individual will be responsible for maintaining your organisation details, public profile and applying complimentary memberships. All correspondence from ICPA will be copied to this person.
Finance Point of Contact - This individual will receive notifications from ICPA concerning billing and invoice information.
Communications Point of Contact - This should be the individual in your agency who is responsible for managing media relations, communications, publicity, etc. We will contact this person with regards to social media campaigns, contributions to newsletters, etc.