CARIE Membership Registration Form

I confirm the following: *

YesNo
I have read and understood the content of the CARIE Constitution document
I have read and understood the contents of the CARIE Data Protection Policy
I consent for CARIE to collect and process my data in the framework of the registration of my organisations as CARIE member
I consent for CARIE to publish the name and contact details of our representative in relevant lists
I consent for CARIE to contact me about relevant news, events and follow up that may be required from time to time

Company name: *

Postal address: *

Website: *

Email: *

Telephone: *

Fax:

URL where we can download the logo of your organisation in good quality for web and/or printed listing:


Organisation type: *

Requested membership type: *

Notes: According to the CARIE Constitution, regular membership is applicable to research and innovation enterprises (provided that the respective criteria are met). This type of membership gives access to voting rights and comes at 150 EUR/year, with an exception for startups that pay 100 EUR/year. 

Non-regular membership is applicable to organisations of type Public body, Research/Academia, Incubator/Accelerator, as well as Research and Innovation Enterprise or Startup (in case they do not chose to go with regular membership) and comes at 100 EUR/year. This type of membership does not give access to voting rights.

Short description of products/services: *

Annual Turnover in Year n-2 (€): *

Note: "n" refers to the year in which you submit this registration form. 

Annual Turnover in Year n-3 (€): *

Number of people working in organisation: *

Percentage of personnel working in Research, Development and Innovation: *

Expenses in research and technological development in Year n-2 (€): *

Note: Research and development expenses are +++

Expenses in research and technological development in Year n-3 (€): *

Participation in research and innovation projects: *

URL where we can download the organisation's balance sheet. If this is not available, please, provide links to websites of European or International authorities where we can find information on research and innovation contracts undertaken by your organisation. For national projects, please, provide the contract number. *


Name of legal representative: *

Postal address: *

Telephone: *

Email: *

Fax:

Name of alternative legal representative:

Postal address:

Telephone:

Email:

Fax: