Membership Application Form - Wireless World Research Forum

Membership Application Form
Wireless World Research Forum (WWRF)
The Wireless World Research Forum (WWRF) is open to all interested parties.
To become a member of the forum, please complete this form carefully. The
completed and signed form should be sent to the secretariat of WWRF. The
applicant (whether individual or organization) will become a WWRF Member on
acceptance of the application by the WWRF General Assembly,
Four different member categories are available. The annual membership fee is
payable per calendar year. It amounts to 100 Euro for Individual Members. For
organizational members, it is 250 Euro for Associate Members, 1200 Euro for
Full Members and 10 000 Euro for Sponsor Members. Please refer to notes 1,
2 and 3 at the end of this page.
Meeting participation costs will be additional to the membership fee. More
information will be given in connection to every meeting.
Please note: the application form includes a short written statement identifying
the applicant describing its interest in participating in the WWRF.
Name of Applicant – Individual1 or Organization: 2, 3
Please specify what kind of WWRF membership is intended.
Individual Member
Full Member
Associate Member
Sponsor Member
Calendar year of membership applied for:
(Please fill in year at the beginning of which membership will commence, e.g.,
2017)
Release of name:
Upon becoming a Member of the WWRF, the Applicant (Individual or
Organization) agrees that the WWRF may, in connection with the membership,
and so long as the Applicant is a Member, publish the applicant's name, the
Membership status and the date on which the Applicant became a Member.
Website address to appear in WWRF membership listing and applicant’s
(individual or organization’s) homepage, if any:
1 Individual membership is available for qualified individuals. For further details, please refer to
article 4.2 of WWRF Articles of Association.
2. Only small companies (50 employees or fewer) or organizations whose core business is not
in wireless communications are eligible for Associate Membership.
3 Please note that one membership may be used to represent multiple-affilliate companies
within a group.
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Membership Application Form
Wireless World Research Forum (WWRF)
Declaration:
Name
I,
as a qualified individual or an authorized person of the Applicant Organization
mentioned above, hereby apply for membership of the Wireless World
Research Forum (WWRF), and further declare that the Applicant:
- Agrees to respect all legal provisions and statutes concerning the WWRF
as described in the Articles of Association – the document originally signed
on August 14th,2001 and modified there after as indicated on the title page
of the version available on the WWRF homepage: http://www.wwrf.ch
- or its representative(s) named overleaf shall be the official contact
person(s) for receiving formal notices, voting papers, and invoices,
- shall become a member of the WWRF upon payment of membership fees
after the acceptance of this application by the General Assembly.
Please send the application form to the WWRF Secretariat (Further details are
available on page 4). An invoice for the annual membership fee will be sent to
you after approval of the membership application.
Company stamp:
Signature:
Name in Full:
Position:
Date / Place:
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Membership Application Form
Wireless World Research Forum (WWRF)
Designated Representative (Voting Contact):
Please fill in all the fields below.
First Name
Last Name
Company
Title
Address
City
State
Country
Postal Code or ZIP
Telephone
Fax
E-mail
Billing Contact (To be filled in if different from the Designated Representative)
Please fill in all the fields below.
First Name
Last Name
Company
Title
Address
City
State
Country
Postal Code or ZIP
Telephone
Fax
E-mail
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Membership Application Form
Wireless World Research Forum (WWRF)
Description of Applicant (Individual or Organization):
Reasons for the Applicant to apply for WWRF membership:
Please mail a pdf copy of the application form(s) to WWRF Secretariat:
Email: [email protected]
WWRF secretariat contact person:
Name, Last Name
Postal Address
E-mail
Telephone (cell)
Dr. Vinod Kumar
15, rue Poliveau
75005, Paris
France
[email protected]
+ 33 6 11 18 16 22
____________________________________________________________
The Articles of Association for WWRF can be requested through the secretariat
contact person or downloaded from the WWRF homepage on Internet:
http://www.wwrf.ch
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