Join EEMA Membership Application Organisation NameExact name to be listed on the EEMA websiteBrief description of your activitiesType of industry and products / servicesPrimary ContactTitle* Mr.Mrs.MissMs.Dr.Prof.Rev. Title Name* First Last Position*Country*Email* Website* LinkedInTwitterPlease enter the full URL to your twitter profile e.g. https://twitter.com/yourhandleFacebookAdministrative ContactTitle* Mr.Mrs.MissMs.Dr.Prof.Rev. Title Name* First Last Position*Email* Annual FeeNewsletterPlease check this box if you would like to sign up to the monthly newsletter, EEMA Communiqué. You can unsubscribe at any time. I would like to sign up to the EEMA Communiqué monthly newsletterPlease select a membership category and fee below*Vendor 1A more than 100 employees: €4500 per annumVendor 1B 100 - 1000 employees : €1500 per annumVendor 1C 10 - 100 employees €2000 per annumVendor 1D fewer than 10 employees: €700 per annumUser company 2A: Over 1000 employees : €5000 per annumUser company 2B: Over 100 - 1000 employees : €1500 per annumUser company 2C: up to 100 employees €600 per annumProfessional : Individual 2D: Academic : €150 per annumConsultant/Analyst 3A more than 25 employees €2000 per annumConsultant/Analyst 3B 10 - 25 employees : €1000 per annumConsultant/Analyst 3C 10 - 25 employees : €250 per annumCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.