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Welcome to the EPMA Membership Application Form

Please complete and return this Form by clicking the Submit Button

 
Title
 
First Name
 
Surname
 
Job Title
 
E-mail
(necessary)

 
Company Name
 
Address 1
 
Address 2
 
Address 3
 
Post Town
 
Postcode
 
Country
 
Telephone
 
Fax
 
Website
 
Please indicate which category of membership you wish to apply for:
 
 
Membership Category
*Please enclose a written statement in the information box below confirming your eligibility

Eligibility for Full Member 40% Discount
(if necessary)
 
 
 
Industry Type
Components (Ferrous/Non-Ferrous)
Consultancy
Designer
Distributor
Education
End User
Equipment
MIM Components
Hard Materials
Tooling
Media
Raw Materials
Research
Testing
   
 

Please send me more information on...
(Please click as many as possible)

Global Property database
Current R&D Projects
REACH Legislation

Sectoral Groups
European Hard Materials Sectoral Group (EHMG)
European Structural Parts Sectoral Group (ESPG)
European Metal Injection Moulding Group (MIM)
Powder Metallurgy Research & Development Network (RADNET)

Working Groups
Environmental Health & Quality Working Group (EHQ)
Research, Education & Training Working Group (RET)

   
  EPMA Membership Payment Options
  Charge to Credit Card Below
Cheque
Send Invoice
   
  EPMA Membership Credit Card Payment Details
  (1) Cheques (in Euros) should be drawn on a Euro Account and be free of all charges
  (2) Visa/Mastercard/Amex/Eurocard

I authorise you to debit my Credit Card:

Card Type:

Card Number:

Vaild Date: Month Year

Expiry Date: Month Year

Security Number: Click here to see where the security digits are on your credit card

Card Holders Address:(If different from above)
 
I have read and understood the EPMA Bylaws.
(To read the EPMA By Laws PDF click here)
 
I understand that EPMA Membership will not commence until payment is received.
 
I confirm the above details are correct