Application for ETSI Membership
 
 


 
 


 Help   |  French Translation


Email address to receive acknowledgement of Membership application.

Email address: 
Confirmation: 


Legally established, registered name and address of the applicant Administration / Organization

Please enter short and long name (even if it is the same - short name field limited to 50 characters)

Short name
Long name:
Phone: Fax: www:
Address:
Address(2):
Address(3):
Address(4):
Postal code: City: Country:

Membership status (Full, Associate or Observer Membership)







* CEPT - European Conference of Postal and Telecommunications Administrations

Operating in the following activity



Represented by (person who is legally responsible for the company)

First name: Last name: Position:
 

cognizant of the ETSI Statutes and Rules of Procedure available at http://portal.etsi.org/Directives/home.asp hereby applies for ETSI Membership in the category of


Category:Type field:

and also applies to participate in 3GPP™



Information related to contacts
You can overwrite the pre-filled fields, if the official contact’s details are different.


Name and address of Official Contact - the main contact between an ETSI Member Organization and the ETSI Secretariat, to whom all correspondence is sent and who is responsible for the maintenance of that organization’s membership data.

First name:
Last name:
Phone: Fax: E-mail:
Address:
Address (2):
Address (3):
Address (4):
Postal code: City: Country:





Invoices to be sent to the
             

European Union VAT N°



Information related to the Membership fee

Administrations
If another Administration in your country is already an ETSI Member and pays Membership fees according to the Gross Domestic Product (GDP) of your country, please tick this box

If your Administration is responsible for the regulation of electronics communications and related areas in that country, please indicate your country’s GDP in EUROS.
€  
If none of the above cases applies, but you are a governmental body, please tick this box

Members’ fees are calculated by class based on the declared ECRT.

Each class corresponds to a number of units/voting weights. This number determines the contribution payable. SMEs, User/Trade associations, Universities and Public Research Bodies come under class 1.


Organization
Please indicate your organization’s annual Electronics Communications Related Turnover (ECRT) in EUROS.
€    or 

Additional Membership
If you are applying for an Additional Membership to an existing Group Membership for which the membership fees have already been determined - See Annex A - 4 (attached), please provide the NAME OF THE ORGANIZATION holding the relevant Group Membership :



The applicant Administration / Organization hereby agrees and commits itself to comply with the provisions of the Statutes and Rules of Procedure of ETSI and all decisions taken by the ETSI General Assembly, to contribute to the work, to make use of the standards produced to the extent practicable and to support those standards for use as the basis for world standards and recommendations.
By signing this application form, you represent that you have the legal authority to bind the applicant Administration/Organization to the representations and commitments provided in this application form.
Read and approved on behalf of the Administration / Organization:


Name and Title of authorized person: 

Place:  Date: 
 (dd/mm/yyyy)



Verification code
Please copy the code from the image into the text field:



 


When you have submitted the form you will get a printable version. Please print it, sign it and email a scanned version to the Membership team to accelerate the process.




Membership of ETSI will be tacitly renewed unless it is withdrawn by the Member Organization (see Rules of Procedure, Article 1, clause 1.4.1 for full details).
 Help   |  French Translation


Thank you for your organization’s application for ETSI membership.
The application has been submitted to the ETSI membership team for validation and processing.
In order to accelerate the process please email the printed and signed (scanned) version to
membership@etsi.org
Until the application has been validated you can still make modifications by connecting to the online application form via an URL sent to you by e-mail.

To complete the membership application please print the form, sign it and post it to:
ETSI Membership, 650 route des Lucioles, 06921 Sophia Antipolis Cedex, FRANCE
For any question, you may contact membership@etsi.org or call at +33 4 9294 4269
Thank you.