ECLO  Membership Application Form

 

* = required field
Title and First Name: *
Family Name: *
Job Title:
Company / Organisation Name: 
VAT No. (exempt from VAT if provided):
Street Address: 
City: 
Postal/Zip Code: 
Country: 
Telephone:
Fax:
Mobile:
Alternate Telephone:
Email: *

I wish to apply for membership of E.C.L.O. in the category selected below

Category Membership
Corporate Organisation  
       -     more than 20 employees     2,000
       -     fewer than 20 employees and SMEs       500
Non-Profit Making Organisation     1,000
Academic Institution     1,000
Associate
(applies to individuals or students in full-time education only)		       100
(all amounts in Euro, VAT Exempt)

Note that the Associate category is not intended for those employed by an organisation. For all other categories, all employees of an organisation benefit from membership including a reduction of 25% on fees for all E.C.L.O. events.

Please specify below what your major area of activities are and how you hope that E.C.L.O. membership will help you. This information will be passed on to our CoP leaders and communicated to the other members of the network to introduce you to them.