Become a Member

NEW MEMBER INFORMATION & AGREEMENT FORM

"*" indicates required fields

1. Your organisation

Organisation 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*

Number of company employees*

Industry*

AccountingAirlines/AviationArchitecture & PlanningArts and CraftsAutomotiveBankingBiotechnologyBuilding MaterialsCapital MarketsChemicalsCivic & Social OrganizationCivil EngineeringCommercial Real EstateComputer and Network SecurityComputer HardwareComputer NetworkingComputer SoftwareConstructionConsumer ElectronicsConsumer GoodsConsumer ServicesDesignE-LearningElectrical/Electronic ManufacturingEnvironmental ServicesFacilities ServicesFisheryFood & BeveragesFood ProductionFund-RaisingGlass, Ceramics & ConcreteGovernment AdministrationGovernment RelationsHigher EducationHuman ResourcesImport and ExportIndustrial AutomationInformation ServicesInformation TechnologyInsurance

2. Membership contact

The 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 contact

The person in your organisation who should be contacted with regard to financial matters, including annual subscription invoices

Name*

First Last

Job Title*

Email*

Telephone number*

4. Additional organisation contacts

People 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 Contacts

First Name

Last Name

Job Title

Email

 

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5. Your organisation information for the online Future Water members directory.

Organisation website

Organisation summary

Please provide a brief organisation profile - approximately 200 words.

Organisation logo

Please 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 & Services

In 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 media

Please share details of your organisation's social media accounts so that Future Water can follow them.

Twitter

LinkedIn

Facebook

YouTube

6. Data Protection

Consent*

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.

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