Cogas membership application form pdf
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Transcript of 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
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