Please use the form below to apply for membership

ESAE Membership Application Form

	Level :	Individual Membership Application
	Date:	30 July 2010
	Rates: Individual Membership - 250 € - apply using this form Corporate Membership - 1,200 € - please use the Corporate 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 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. ORGANISATION(S) REPRESENTED       Scope of Membership   Local Regional National International Branch/Chapter Mixed/AMC Type Charitable Cultural Educational Medical Philanthropic Professional Scientific Social Sporting Technical Trade AMC/Mixed

3. TYPE OF MEMBERSHIP YOU ARE APPLYING FOR:       Individual Membership - 250 €   is open to European-based individuals who are engaged in association management either in a single association or within an association management company. If you wish to apply for Corporate Membership (1,200 €) please use the Corporate Application form

4. PROFESSIONAL INTEREST SECTIONS (Please tick all sections you wish to join)       Executive Management International Component Relations Finance & Administration Professional Development Membership Marketing Communications Legal Government Relations Meetings & expositions Technology Association Management Companies (AMCs)

5. PERSONAL SKILLS PROFILE   (Please indicate any particular skill(s) which you would be willing to share with fellow members through participation in conferences, seminars, workshops, roundtable discussions, etc. and/or by writing articles for ESAE/ASAE publications)

6. 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: