Please use the form below to apply for membership

ESAE Membership Application Form

	Level :	Corporate Membership Application
	Date:	30 July 2010
	Rates: Corporate Membership - 1,200 € - apply using this form Individual Membership - 250 € - please use the Individual Application form If you wish to apply and pay in £ Sterling, please contact the ESAE Secretariat A pdf version of this form is also available for printing and fax/mail return.

1. APPLICANT CONTACT DETAILS       Title: *   Address: *   Initials:       First name(s): *       Family name: *   City: *   Job title:*   Postcode: *   Organisation: *   Country: *   Abbreviated Organisation name: (e.g. ESAE)                     Website:   Telephone: *   E-mail: *   Fax:

2. COMPANY PROFILE     Accounting Airline Audio/Visual equipment supply Car rental Computer hardware/software Conference/Exhibition venue Convention Bureau Data Management/entry DMC Display/Design/Build Service Entertainment agency European affairs agency Exhibition management Hotel - Independent Hotel - Group Sales Insurance services Mail/Postal services Management consultancy Meetings/Events accessories Professional Conference Organiser Public/Media relations Speaker bureau Travel agency Other (Please specify):

3. TYPE OF MEMBERSHIP YOU ARE APPLYING FOR:       Corporate Membership - 1,200 €   Individuals, companies, organisations and agencies engaged in the provision of goods and/or services to the association community may qualify as Corporate members of ESAE. If you wish to apply for Individual Membership (250€) please use the Individual Application form

4. INVOICE DETAILS   Note, if your organisation requires a purchase order number in order to process the invoice, please enter the number in the box below.   Purchase order no:     If your organisation does not require a purchase order number, please tick this box         If invoicing details are different from those given above, please state below:   Organisation: Address:     Account Contact Name:       Telephone: