/ Individual Member Application Form
61 Lower Kings Road
Kingston upon Thames
Surrey KT2 5JA / Phone:
0208 546 5099 / Email:

Please return by email (preferred) to

or post to above address

Your membership will be confirmed within 3 working days

Standard Membership (£79 p.a.)
I wish to join Petsitters Alliance as a Standard Member
with all benefits excluding staying in the client's home overnight
I have read and accept the Terms & Conditions of Membership /
Homesitting Membership (£95)
I wish to join Petsitters Alliance as a Homesitting Member
with all benefits including cover for staying in the client's home overnight
I have read and accept the Terms & Conditions of Membership /
Electronic submission constitutes acceptance,
but if you need to post the form to us, sign and date below
Signature & date

Welcome to Petsitters Alliance

Later this year we will introduce an additional benefit

The Petsitter Finder - an online database of petsitters.
Clients will be able to see their nearest petsitter, and make contact directly with you.
Inclusion in the database will be free for the first year for new and existing members.
Your Profile in The Petsitter Finder may include the following information from this form.
  • Your Contact Details
  • Services Offered
  • Your Profile
  • Your Public Photos

Please check this box if you wish to be included in The Petsitter Finder /
YOUR CONTACT DETAILS / Please enter information in this column only
For All Members
Surname
First Name
Title
Petsitting Company or Trading Name
Street Address
Town
County
Postcode
Phone
Mobile
Fax
Email
WWW
SERVICES OFFERED
For Homesitting Members Only
Petsitting in Client’s Home
For All Members
Pet Sitting in your own home
Day Care in your own home
Walks/Visits
Cats
Small Animal
Birds
Other (Please state)
Restrictions on services offered
YOUR PROFILE
Fill this section only if you wish to be included in The Petsitter Finder
This is the “About Us” or “About Me” you may have on your Website
Take the opportunity to tell clients about yourself, your love of pets, your wide experience, how happy your pets are, how magnificent your facilities are …………..
TIP: We suggest between 150 and 300 words
YOUR OTHER DETAILS
For All Members
Age
Birth Date
Years at above address
Brief detail of other people’s pets you have cared for
Continue on Extra Information Sheet at end if necessary
No. Years experience
How did you hear about Pet Sitters Alliance
YOUR OTHER DETAILS
For All Members that do petsitting in their own home
No. Children at home
Ages of Children at home
House or Flat
Secure garden ?
Approx size of garden available to pets (yards or meters)
Can you collect client’s pets if necessary?
No. Current pets
Brief detail of current pets (type, breed, sex, temperament)
Continue on Extra Information Sheet at end if necessary
Brief detail of pets previously owned
Continue on Extra Information Sheet at end if necessary
YOUR NEAREST VET
Vet Name
Vet Street Address
Vet Town
Vet County
Vet Postcode
Vet Phone
Other relevant information
PREVIOUS CLAIMS & INCIDENTS
For All Members
Please use the Claims & Incident Report below to give full details of any claim you have made on any petsitting insurance in the last three years. If none, write “NONE”.
Please use the Claims & Incident Report below to give full details of any incident or accident in the last three years when you have been asked for compensation of any kind by your clients or members of the public. If none, write “NONE”.
CLAIMS & INCIDENT REPORT
REFEREES
For All Members
Surname(Referee 1)
First Name
Title
Street Address
Town
County
Postcode
Phone
Mobile Phone
Surname(Referee 2)
First Name
Title
Street Address
Town
County
Postcode
Phone
Mobile Phone
Surname(Referee 3)
First Name
Title
Street Address
Town
County
Postcode
Phone
Mobile Phone

PHOTOGRAPHS

Please use a digital camera and email us the photos with this form as attachments.

Please do not use methods that require us to open a web page for the photo’s (e.g. SkyDrive)as these are blocked by our security.

PUBLIC PHOTOGRAPHS
Send these only if you wish them to be included in The Petsitter Finder
Attach or send one or two photo’s of your choice, for publicity
E.g. Yourself, you and a pet, your garden, etc
PLEASE ATTACH THE FOLLOWING (NON-PUBLIC) PHOTOGRAPHS
We do not use these photo’s on our websites.
They are for our internal records of identification, suitability, and security
For All Members
For identification please attach
  • 1 or 2 photographs of yourself

For All Members that do petsitting in their own home
To confirm suitability and security, please attach
  • 2 or 3 pictures of the inside of your house (where you will be with dogs)
  • 2 pictures of your garden. One should be a general picture towards the house, and the other a general picture from the house down the garden.
If it is not clear from the garden shots, add pictures of your boundary fences/walls to show that they all are secure.
PAYMENT & MEMBERSHIP CONFIRMATION
Please pay by cheque or bank transfer
Cheque to
Petsitters Alliance Limited,
61 Lower Kings Road, Kingston upon Thames, Surrey, KT2 5JA
Bank Transfer to
Petsitters Alliance Ltd
Account Number: 6812 7284
Sort Code: 08 92 50
Payee Reference: your surname
Insurance
cover starts from the moment we receive your membership fee.
Confirmation
We will confirm your membership with insurance cover, and send you all your membership documents as soon as we receive your completed form and membership fee.
EXTRA INFORMATION SHEET / Continued from main form

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