» Associate Membership Application

Contact details

Legal/official organisation name*

Organisation marketing name*

Name

First Last

Address*

Telephone*

Fax

Email*

Website*

Chief Executive

Name*

Job Title*

Email*

CANSO Focal Point

A Focal Point is a mid-level representative from your organisation who is nominated to coordinate between CANSO and your organisation.

Name*

Job Title*

Email*

Head of Communications

Name*

Job Title*

Email*

Nature of Organisation

Please tick one box.*

Manufacturer of products and systems
Consultant
Research organisation/think tank
Provider of air navigation services
Airspace user
Other
Provider of other services and solutions
Training provider

Membership category

Please tick box*

Gold Membership at an annual fee of €19,362
Silver Membership at an annual fee of €7,744

* See terms and conditions on the following page.

Authorised representative

l hereby agree that the organisation named above is bound by the CANSO Articles of Association and commits to support the objectives of CANSO and the goals laid down in the CANSO Charter.

Name*

Signature*

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Position in company*

Date*