Namibia Biomass Industry Group (N-BiG) …...within SADC*) € 150 per annum (residing outside of...
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5 Von Braun Street Southern Industrial Area PO Box 314 Ausspannplatz Windhoek Namibia Tel: + 264 61 371 196 |Fax: +264 61 371 102 Email: [email protected] Company Reg. No. 21/2015/0900 Page 1 of 4 Namibia Biomass Industry Group (N-BiG) Membership Application Form 2017/18 Clearing the path to prosperity
Transcript of Namibia Biomass Industry Group (N-BiG) …...within SADC*) € 150 per annum (residing outside of...
5 Von Braun Street Southern Industrial Area PO Box 314 Ausspannplatz Windhoek Namibia Tel: + 264 61 371 196 |Fax: +264 61 371 102 Email: [email protected]
Company Reg. No. 21/2015/0900
Page 1 of 4
Namibia Biomass Industry Group (N-BiG)
Membership Application Form
2017/18
Clearing the path to prosperity
5 Von Braun Street Southern Industrial Area PO Box 314 Ausspannplatz Windhoek Namibia Tel: + 264 61 371 196 |Fax: +264 61 371 102 Email: [email protected]
Company Reg. No. 21/2015/0900
Page 2 of 4
Membership Applicant Details
Name of individual/representative:
Name of organisation:
Country of residence/registration:
Type of organisation:
Identification (Individual) & Registration number (Organisation):
Applicant Type (please indicate applicable category)
Membership Type Cost
Individual Membership, for anyone who is interested in the biomass sector.
N$ 550 per annum (residing within SADC*) € 150 per annum (residing outside of SADC*)
Group Membership, for any registered organisation who is interested, and/or involved within the biomass sector.
N$ 2 000 per annum (registered within SADC*) € 1 000 per annum** (registered outside of SADC*)
*SADC member states include Namibia, Angola, Botswana, Democratic Republic of Congo, Lesotho, Madagascar, Malawi, Mauritius, Mozambique, Seychelles, South Africa, Swaziland, Tanzania, Zambia and Zimbabwe. ** Includes Online Media Package, Correspondence Package and one complimentary day of professional expertise.
Membership Add-Ons
Service Cost Yes/No
Basic Listing, whereby you may choose to be listed on the N-BiG website as a member, excluding logo or contact information.
Free
Online Media Package, whereby you may choose to have your logo (including a website link) displayed on the N-BiG website, as well as receiving a social media blast, on joining as a member.
N$ 1 500 per annum
Correspondence Package, whereby you may choose to have your logo included on all N-BiG email signatures, as well as receiving a welcoming email sent to all members, on joining as a member.
N$ 3 000 per annum
Sponsorship Package, whereby you may choose to have your logo displayed on all N-BiG media, including the Online Media Package, and Correspondence Package benefits, as well as inclusion of your logo on all other outgoing N-BiG media, including banners, flyers, business cards, presentations, and publications.
N$ 25 000 per annum
5 Von Braun Street Southern Industrial Area PO Box 314 Ausspannplatz Windhoek Namibia Tel: + 264 61 371 196 |Fax: +264 61 371 102 Email: [email protected]
Company Reg. No. 21/2015/0900
Page 3 of 4
Contact Details (Please write clearly)
Cell Phone Number:
Telephone Number:
Fax Number:
Email:
Website:
Physical Address:
Postal Address:
Areas of interest to you or your organisation (mark appropriate boxes)
Information Sharing
Networking with N-BiG Members
Business-to-Business Networking
Training & Workshops
Demonstrations & Mentoring
Field Days or Site Visits
Technical Expertise
De-bushing Advisory Services
Business Development Services
Research & Development Services
Testing & Analytical Services
Environmental Compliance Expertise
Harvesting/Bush Thinning Services
Processing and Value Addition Services
Aftercare Expertise
Access to Biomass Supply Agreements
Power Generation Advisory Services
Attending National and International Trade Shows
Other :
5 Von Braun Street Southern Industrial Area PO Box 314 Ausspannplatz Windhoek Namibia Tel: + 264 61 371 196 |Fax: +264 61 371 102 Email: [email protected]
Company Reg. No. 21/2015/0900
Page 4 of 4
Signature
I, ………………………………………………………….. hereby certify that the above information is as complete and accurate as possible. I have read and understood the corresponding Terms and Conditions of N-BiG membership and I will do my utmost to adhere to them at all times. I also certify that I am ready and able to pay the necessary membership fees, as indicated in the above.
……………………………………… ……………………………….
Applicant Signature Date
Please indicate your preferred method of communication from N-BiG in the future:
Telephone Email SMS
Fax Post Smoke signals
For Official Use Only:
Is this application form complete? ……………………. Is the applicant deemed a suitable candidate for N-BiG membership? ......................... ……………………………………… ………………………………. N-BiG Official Date
