APPLICATION FORM

would like to sign up as a Full Member of the World Bioenergy Association
            I suggest the following fee:                             /year
 

I would like to sign up as an Associated Member of the World Bioenergy Association
            I suggest the following fee:                             /year
 

I would like to sign up as an Individual Member of the World Bioenergy Association

Applications for membership shall be submitted to the Board.
The Board reserves the right to admit or refuse an application for membership.
In case of a refused application, the applicant may apply to the General Assembly for a reversal of the decision.

Company/Organisation:_____________________________________________________________________

Name::__________________________________________________________________________________

Address: ________________________________________________________________________________

Country:_________________________________________________________________________________

Tel: _______________________________________ Fax: ________________________________________

E-mail:_________________________________________ Website:_________________________________

Date and signature: _______________________________________________________________________


SEND THIS FORM TO:

Mrs. Karin Haara, World Bioenergy Association, Torsgatan 12, SE 111 23 Stockholm, Sweden
Fax: +46 (0)8 —441 70 89, E-mail: karin.haara@worldbioenergy.org


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