Application Form for Corporate Membership of CEDA

Please fill in the form as complete as possible and press the 'send' button below the form. You can also print the form and send it by post or fax to the CEDA Secretariat.
You can also obtain an Application Form by post or fax. Please contact us.

1 - Company Information
Name of the
Organisation:*
Department:
Address:*
Address 2:*
City + Zip code:*
State:
Country:*
Phone:*
Fax:*
E-mail:*
Website:*
Name CEO:*
Job Title CEO:*
Code required on CEDA invoice:*
2 - CEDA Contact Point Information
Title + Initials:
e.g. Ms. A.H.*
Name:*
Mobile Phone:
E-mail:*
3 - Copies of DPC
Corporate Members are
entitled to receive two copies of DPC
Please indicate how many
copies you wish to receive
Should the second copy of DPC sent to the same address as above:
Yes
No
If your answer to the above text is "Yes" fill in the fields below
Extra copy of DPC to be addressed to:
Name of the
Organisation:
Department:
Address:
Address 2:
City + Zip code:
State:
Country:
Contact person:
3 - Membership
Corporate
Member Class *
Dredging and marine contractors
Port, maritime and navigational authorities
Consultancies and research institutes
Designers, builders and suppliers of ancillary equipment
Services (e.g. insurers, law firms, financial agencies, towage companies)
Designers, builders and suppliers of dredging vessels
Government organisations and public works
Academic bodies and educational institutes
Media
Associations
Other (please specify below)
4 - Fee

To establish the membership fee, please complete one of the fields below:

Corporate Member Class 1:
Turnover (€ / year):

Corporate Member Classes 3-6
Number of employees:

Corporate Member Class 7
Jurisdiction area:
Municipality, Province
Region, Federal state
National

5 - Publications

Please indicate if you would like to order the following magazines at the special annual member subscription price as indicated. (You will receive invoices for the magazines from the publishers.)

International Dredging Review (US$100)
Port Engineering Management (US$20)
Terra et Aqua (Free)
World Dredging and Mining (Outside the USA: US$150; Within the USA: US$50)
6 - Invoice Address

Do you wish to send the invoice to an address other than the company address as above? If yes, please fill in the fields below

Other address:
Yes
No
Name:
Name of organisation:
Department:
Address:
Address 2:
City + Zip code:
State:
Country:
7 - CEDA Mailings
Receive CEDA corporate mailings: *
yes
no
Receive CEDA forum updates: *
yes
no
Receive CEDA Section mailings: *
yes
no
Receive Young CEDA mailings: *
yes
no
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