Membership Application

World Water Council's General Assembly, Marseille, October 14-16, 2009

Contact: membership@worldwatercouncil.org
World Water Council
2-4 Place d'Arvieux
13002 Marseille

Tel: +33 4 91 99 41 00 Fax: +33 4 91 99 41 01

Name of your organization *

Acronym or Abbreviation

Department/Unit (if applicable)

Date of establishment of your organisation

Country of incorporation of your organisation

What is the Stakeholder group of your organisation *

What is the main source of income of your organisation? *

What is the annual budget of your organisation *

How many employees are working in your organisation? *

Does your organization have a membership?

If so, how many members do your organisation have?

Does your organisation have international membership?

What kind of members does your organisation have?

Does your organisation have subsidiary offices abroad?

If so, where?

Are your organization's primary activities focused on water?

What are your organisation's fields of expertise? *

Please specify your organisation activities by providing a list of more precise keywords

Geographical scope of your organisation's activities

Please specify your organisation's geographical area(s) of expertise

Please provide a description of your organisation and its water-related activities *

Organisation Address Line 1 *

Organisation Address Line 2

Organisation PO Box

Organisation City *

CountryColumn

Telephone: Country Code *

Telephone: Area Code

Telephone: Number *

Organisation Info e-mail

Organisation website *

Logo

Official Contact First Name *

Official Contact Last Name *

Official Contact Position *

Official Contact Title *

Official Contact E-mail *

Official Contact Mobile Number

Official Contact Direct Line

Communication Contact First Name *

Communication Contact Last Name *

Communication Contact Title *

Communication Contact e-mail

Communication Contact Mobile Number

CEO, President or Director General's First Name *

CEO, President or Director General's Last Name *

CEO, President or Director General's e-mail

How did you hear about the WWC? *

Why is your organisation interested in joining the WWC?

How do you intend to contribute to the mission and goals of the WWC? *

We hereby confirm having read and understood the Constitution and By-Laws

We hereby confirm our commitment to paying our annual membership fees