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EURIM MEMBERSHIP APPLICATION |
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Membership Details Name
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.. Organisation...........................................................................
...............
....... Address.........................................................................................................
.
.. ..........................................................................................................
.. ...........................................................................................................
. Tel..........................................................
Fax..........................................
E-mail
...........................................................Website....................................
.. |
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Registration I / We wish to join EURIM as ¨ A Corporate Member at
£3,500 + VAT (£4,112.50) ¨ An Associate Member at £1,500 + VAT
(£1,762.50) Applicable to
Not-for-Profit organisations & firms with less than £10million annual
turnover ¨ An Individual
Member at £450 + VAT (£528.75) Applicable to individuals for involvement in one theme only¨ A Parliamentary
Member (free of charge) Open to MPs, MEPs and Peers Cheques
should be made payable to EURIM. Please
remember to attach your purchase order if applicable and/or invoicing details Name of authorised
signatory
Signature
.
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Please return to: EURIM Administration FREEPOST NEA14165,
TAUNTON, TA4 4ZA Tel:- 01984 618 613
Fax:- 01984 618 383 info@eurim.org |
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What does the subscription cover? |
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Other Notes |
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Further information about your organisation |
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There is no need to complete this
section if you do not wish to. |
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1
Please list any other members of your organisation who would
like to be involved in EURIM activities |
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Name |
Position |
Email |
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2 To help us meet the needs of our members, please use the space below to summarise what you most want to achieve from membership of EURIM. |
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