Please enable JavaScript in your browser to complete this form.Your DetailsYour Name *Your Email *Your Company DetailsCompany Name *Company Address *What does your company provide?Please provide a brief summary of what service your Company provides. If your Company operates as a third-party provider obtaining financial data, please specify by which method you obtain that dataYour Key ContactsMembershipMembership NameMembership EmailMembership Phone NumberInvoicingInvoicing NameInvoicing EmailInvoicing Phone NumberChief Executive OfficerCEO NameCEO EmailCEO PhoneTechnicalTechnical Contact NameTechnical Contact EmailTechnical Contact Phone NumberPolicyPolicy Contact NamePolicy Contact EmailPolicy Contact Phone NumberWebsiteWebsite Contact NameWebsite Contact EmailWebsite Contact Phone NumberOthersOther Contact NameOther Contact EmailOther Contact PhoneFDATA has built outstanding relationships with key players in governments and the regulatory, financial services and fintech sectors worldwide. Our ability to convince stakeholders that we are experts in our field and guardians of the highest possible standards of security and ethics is vital and central to our success. Have either you or your Company, or any Directors of your Company, even been subject to any regulatory or criminal action which could jeopardise that reputation?YesNoIf yes, please give details in a covering emailDo you need to provide FDATA with a purchase order number?YesNoIf yes, please provide an email address:Purchase Order EmailPlease indicate the frequency of FDATA invoices you would prefer:AnnuallyQuarterlyDo you give FDATA permission to add your logo to its website?YesNoIf yes, please forward your logo with this completed application form. Click or drag a file to this area to upload. Which FDATA Chapter(s) do you wish to join and how many employees do you have in that territory?Europe---1-9 (1)10-19 (2)20-49 (3)50-99 (4)100-249 (5)250-499 (6)500+ (7)North America---1-9 (1)10-19 (2)20-49 (3)50-99 (4)100-249 (5)250-2499 (6)2500-4999 (7)5000+ (8)Latin America---1-9 (1)10-19 (2)20-49 (3)50-99 (4)100-249 (5)250-499 (6)500+ (7)Australasia---1-9 (1)10-19 (2)20-49 (3)50-99 (4)100-249 (5)250-499 (6)500+ (7)Asia---1-9 (1)10-19 (2)20-49 (3)50-99 (4)100-249 (5)250-499 (6)500+ (7)Africa---1-9 (1)10-19 (2)20-49 (3)50-99 (4)100-249 (5)250-499 (6)500+ (7)Submit