PDA Europe Membership Application Form

Please fill in the details below:

Company Details

Company Name:

Company Address:

Invoicing Address (if different from above):

Telephone:

VAT Number:

Company Website:

Primary Company Contact

Name:

Telephone Number:

Fax Number:

Email:

Postal Address (if different from above):

Additional Contact

Name:

Telephone Number:

Fax Number:

Email:

Postal Address (if different from above):

Membership Category

Choose the one that best describes your company:
Raw Material Supplier (3500€/year)Raw Material Distributor (1000€/year)Equipment Supplier (1000€/year)Equipment Distributor (1000€/year)Formulator/System Supplier (1000€/year)Consultant (450€/year)Contractor/Applicator/Owner (300€/year)Independent Sales Representative (300€/year)Architect/ Engineer/ Specifier/ Testing institute professional (180€/year)Academic/ Government/ Student (150€/year)

Number of Employees

1-2526-100101-500501-10001001+

Company Description

Please tell us about your company.
List the type of service you provide or equipment/products you sell.

Areas of Interest

Please tick the areas that are of interest to you.

General Interest

Technical InformationMarket InformationEquipment InformationApplication TrainingHealth, Safety & Environmental

Market Interest

ConstructionAutomotivePipelinesWater and Sewer SystemsChemical Containment, Ponds and PoolsTheming and ExhibitsWaterproofingMoulded Products

Comments

Do you have any questions or comments?

PDA Europe Committees

Would you be interested in taking part in a PDA Europe Committee?
Please select the committee you would be interested in.
Conference CommitteeTechnical CommitteeMembership CommitteeIndustry Relations and Communication Committee

Terms and Conditions

If accepted as a member in the Polyurea Development Association Europe, I agree to abide by the Articles of Association and pay all duly levied fees and assessments.
Membership dues are valid per calendar year from January to December.

Data Protection

I accept that PDA Europe will collect and process information and personal data from the different representatives of my company that participate actively in the association for purposes that relate only to the activities of the association.
Accept

I accept that PDA Europe uses carefully selected third parties to provide essential services (including, but not limited to, event registration, email circulation etc). I allow PDA Europe to provide the necessary personal data of me and other company representatives to these third parties.
Accept

I declare that I have read and accepted the privacy policy of this website: Privacy Policy
Accept

Spam Prevention

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