EGSF

EGSF Membership Application Form

Please Fill in Below:

*Company Name

*Contact Person

*Telephone (incl code):
Fax (incl code):
*Email:

Address

Postal Code
Province


Company / Organisation Details:
Company Type:
*Company Size:
*Company Sector:
*Companies Environmental Function:

*Brief Overall Description of Business / Company:

*Brief Overall Description of EGS Supplied:	(max 25 words)

*Brief Description of EGS Purchased:	(max 25 words)
Any Certification of Services/Products:	Yes No

Certification:

Areas Of Interest: (tick one or more categories)

Air Pollution Control
Cleaner Technologies and processes
Decommissioning/Decontamination of Nuclear Sites
Environmental Consultancy
Environmental Monitoring, Instrumentation and Analysis
Marine Pollution Control
Noise and Vibration Control
Remediation and Reclamation of Land
Renewable Energy
Waste Management, Recovery and Recycling
Water Supply and Waste Water Treatment


*I have read the EGSF Constitution and wish to become a member - YES

EGSF Membership Fees per year:
Small Company	R1000 per year
Medium Company	R2500 per year
Corporate Organisation / Company	R5000 per year
NGO	Free of Charge


* Required Fields