Become a member NEW MEMBER INFORMATION & AGREEMENT FORM "*" indicates required fields 1. Your organisationOrganisation name* Organisation address* Address line 1 Address line 2 Town / City County Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Telephone number*Organisation water related turnover*2. Membership contactThe person in your organisation who should be receive information about Future Water activities, events & initiatives. Name* First Last Job Title* Email* Telephone number*3. Finance contactThe person in your organisation who should be contacted with regard to financial matters, including annual subscription invoicesName* First Last Job Title* Email* Telephone number*4. Additional organisation contactsPeople in your organisation who would like to receive information about Future Water activities, events & initiatives via email. (Please ensure to include the correct email addresses and job titles).Organisation ContactsFirst NameLast NameJob TitleEmail Add Remove5. Your organisation information for the online Future Water members directory.Organisation website Organisation summaryPlease provide a brief organisation profile - approximately 200 words. Organisation logoPlease upload a high-res company logo for use on the Networks November webpages, social media and promotional material. Minimum dimensions: 600px X 600px Accepted file types: jpg, png, jpeg Name file: NN21 [organisation name]Max. file size: 32 MB.Products & ServicesIn addition to your organisation description, your member directory entry will also contain details of the services and products you offer. These can be added when you are given your website login details.Organisation social mediaPlease share details of your organisation's social media accounts so that Future Water can follow them.Twitter LinkedIn Facebook YouTube 6. Data ProtectionConsent*Future Water will store the information you provide on our secure systems. We will use this information to communicate with you about your membership and to make you aware of the membership benefits which are available to you as well as issues which are relevant to the activities of your organisation. Any personal data you provide will be processed by the Future Water in accordance with the General Data Protection Regulations 2018. Future Water will never pass on or sell your details to any third parties. Please tick to give consent on behalf of your organisation for all personnel to receive information pertaining to their roles and activities as representatives of your organisation to ensure maximum benefit from your membership.Declaration* We wish to apply for membership of the Future Water We have read and agree to the Terms & Conditions of membership. We confirm that the information given here is true and accurate and we understand that the submission of misleading information may lead to the refusal of the application or subsequent cancellation of membership. Please tick the box to confirm that all the information given above is correct. Select AllCAPTCHAEmailThis field is for validation purposes and should be left unchanged. 38096
