EPNOE Collective Membership Request Form – Company

EPNOE Collective Membership Request Form - Company

Yearly membership fee for startups with up to 5 employees is 400€; 750€ for companies with up to 10 employees; 1250€ for companies with up to 50 employees; 3000€ for companies with up to 500 employees; and 6600€ for companies with 501+ employees.

By submitting this form I declare to represent my Company and to join as Collective Member of the EPNOE Association, IMT Mines Alès, 6 avenue de Clavières, 30319 Alès Cedex, France, declared under law of 1901 on December 14th 2007 and published in the French “Journal Officiel” on January 5th 2008 under number 1006, and accept its statutes.
Membership is effective for the current calendar year upon payment of the annual membership fee.

The form below is currently not working, to complete your request please use the registration form using this link: https://shorturl.at/D9y7m

First Name

Last Name

Job title

Company

Street Address

Address Line 2

City

Zip/Postal Code

Address Invoice (if different from above)

Country

Number of employees

our company is a start-up and has up to 5 employees our company has up to 10 employees our company has up to 50 employees our company has between 50 and 500 employees our company has more than 500 employees

VAT (if required)

Purchase Order Number is needed on invoices

I need a purchase order number on my invoice

Message

GDPR

My data may be stored according to GDPR *

* mandatory field

EPNOE Collective Membership Request Form - Company

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