Organization Membership Form

Organization name *

Head office address *

Website *

Twitter company account

If applicable

LinkedIn company page

If applicable

Agree to a public welcome as an organizational member on social media? *

Agree to a news item announcing your membership? *

Your approval would be ensured before publication on our website

Key Contact Name: *

First

Last

Title *

Job Title *

Email *

Email

Confirm Email

Phone number *

With international prefix

Subjects of most interest to your organization? *

Select all that apply

What is the motivation for becoming a WEMC organization member? 50 - 300 words *

How did your organization become aware of WEMC? *

Select one

What additional support can your organization offer WEMC? *

A donation - to support any of the WEMC activities
Sponsorship - to support a specific WEMC activity (to be agreed with WEMC Secretariat)
In kind support (specifics to be discussed with WEMC Secretariat)
None of the above - sorry but we are not currently in a position to support these right now

Tick all that apply

Is your organisation interested in a role on our WEMC Advisory Board? *

Select one answer

Terms of WEMC Organization Membership *

Tick required

We agree that in our role as a WEMC Organisation Member we will endeavour to contribute meaningfully to the WEMC activities and that we understand the requirements and benefits of membership.

Tick required

I agree to the name of our organisation and interests to be listed on the WEMC website under our Members' Register, always adhering to the requirements of Data Protection Acts.

Tick required

I understand we are able to cancel our membership at any time by emailing membership@wemcouncil.org

Tick required