Cogas membership application form pdf

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APPLICATION FOR MEMBERSHIP Secretariat/Director CYPRUS OIL & GAS ASSOCIATION P.O.Box 21455 1509 Nicosia, Cyprus Τel.: 22 889706 Fax.: 22 667593 E-mail: [email protected] Date: .......................... Dear Sir, We, ………….……………….., hereby apply for membership with the Cyprus Oil & Gas Association (“the Association”). In case our application is approved, we undertake the obligation to remit the registration fee together with the annual membership fee and to comply with the provisions of the current Memorandum and Articles of Association of the Association and with any future amendments thereon. Yours faithfully, _____________ (Signature & Stamp) FOR OFFICIAL USE: We, the undersigned, members of the Board of the Cyprus Oil & Gas Association, hereby approve the present membership application. □ Full member □ Associate member 1. ……………………………………… 2. ……………………………………… COMPANY INFORMATION: 1. Name of Applicant: ………………………………… 2. Business Address: ...................................................... 2. Postal Address: ...................................................... Postal Code: …………….……… 3. P.O.Box: ...........................……… Postal Code: …………….……… 4. Telephone: ................................... Fαx: .............................................. 5. E-mail: ...……………………….. 6. Website: ……...………………… 7. Name of Director: ....................................................... 8. Contact Person: ....................................................... 9. Main activities: □ Upstream : (Type) ……………….. ………………………………………. □ Midstream: (Type) ……………….. ………………………………………. □ Downstream: (Type)……………… ……………………………………….. □ Other: (Type)……………… ……………………………………….. 10. PLEASE ATTACH COPY OF CERTIFICATE OF REGISTRATION

Transcript of Cogas membership application form pdf

Page 1: Cogas membership application form pdf

APPLICATION FORMEMBERSHIP

Secretariat/DirectorCYPRUS OIL & GAS ASSOCIATIONP.O.Box 214551509 Nicosia, CyprusΤel.: 22 889706Fax.: 22 667593E-mail: [email protected]

Date: ..........................

Dear Sir,

We, ………….……………….., herebyapply for membership with the CyprusOil & Gas Association (“theAssociation”).

In case our application is approved, weundertake the obligation to remit theregistration fee together with the annualmembership fee and to comply with theprovisions of the current Memorandumand Articles of Association of theAssociation and with any futureamendments thereon.

Yours faithfully,

_____________(Signature & Stamp)

FOR OFFICIAL USE:

We, the undersigned, members of the Board ofthe Cyprus Oil & Gas Association, herebyapprove the present membership application.

□ Full member □ Associate member

1. ………………………………………

2. ………………………………………

COMPANY INFORMATION:

1. Name of Applicant:

…………………………………

2. Business Address:

......................................................

2. Postal Address:

......................................................

Postal Code: …………….………

3. P.O.Box: ...........................………

Postal Code: …………….………

4. Telephone: ...................................

Fαx: ..............................................

5. E-mail: ...………………………..

6. Website: ……...…………………

7. Name of Director:

.......................................................

8. Contact Person:

.......................................................

9. Main activities:

□ Upstream : (Type) ………………..

……………………………………….

□ Midstream: (Type) ………………..

……………………………………….

□ Downstream: (Type)………………

………………………………………..

□ Other: (Type)………………

………………………………………..

10. PLEASE ATTACH COPY OF CERTIFICATEOF REGISTRATION

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Membership Type (please select one)Member €500Associate Member €300Student Member €0

StudentMemeEach applicant and their selectionshall be reviewed and approved bythe Board of Directors

PAYMENT METHODSYou may either pay by cheque or cash in person or sent to the address opposite. Makesure the payment is accompanied by this application form.You can also pay via bank transfer to any of the following accounts:Name of a/c holder: Cyprus Chamber of Commerce & Industry (COGA)Bank of Cyprus: 0194-12-006537Hellenic Bank: 121-01-013924-01

Associate Membership will be opened to allservice providers, engineering companiesproviding services to the Oil, Gas and ChemicalIndustry. Associated Members enjoy less influencebut are represented on the Board of Directors.Any multi-discipline Oil & Gas operator, drillingcompany, seismic data provider, petrochemicallaboratory, importer or exporter ofpetrochemical products, land storage carriers,field licensee, equipment manufacturer, by-product engineering company, oil and gasconsulting firm, marine engineering, oil and gasshipping, LNG bulk carriers, oil tanker operatorsetc. are invited to join COGA as members withfull voting rights and privileges.Students who are pursuing studies in a subjectrelating to the oil & gas industry can apply toreceive special student status in GOGA