IGPN Membership Application Form (Individual Membership)

Full Name:
Date of Birth (dd/mm/yy):
Country of Residence:
Current Profession:

Profile (pleases attach your resume,if appropriate):
Experience/Activities related to green purchasing:
Reason(s) for membership application:

Postal address:
Telephone:
Fax:
E-mail:
E-mail (confirm):
Internet web site:

Affirmation I affirm that I conform to the IGPN requirements of membership set forth in the IGPN Membership Requirements. I also attest that all the information provided to IGPN about myself is correct. I understand that if my status is altered so as to be substantially out of compliance with the requirements, or if I have engaged in conduct defaming IGPN or prejudicial to the interests and objectives of IGPN, my membership in IGPN will beinvalidated. Requirements for IGPN Membership IGPN membership is open to any organization or individual who is willing to participate in IGPN activities and contribute to the promotion of Green Purchasing. 1. Responsibilities of IGPN Members Attend and actively participate in the IGPN meetings and related events. Give continuous input to the IGPN work and ongoing projects, completing commitments to agreed deadlines. Report on activities, achievements and developments to the IGPN secretariat for posting on the IGPN web site and/or for use in other IGPN informational and promotional purposes. Contribute annual membership fees to help offset administrative and other organizational costs. 2. Membership Fees IGPN membership is free of charge until 31st March 2007, from which date the following rules will apply: Members will be annually invoiced and pay membership fees in an amount determined based on the IGPN membership fee table, which will be provided to all members in due course. Besides the annual membership fee, members are expected to cover their own expenses relating to their participation in IGPN activities and initiatives. Different levels of membership fee may be applied to corporate and individual members. 3. Membership Application and Approval Process In response to requests for information on membership requirements and/or request for the membership application form (for either organization or individual), the IGPN Secretariat sends out the relevant application form along with an information letter that outlines this application and approval process and identifies the annual membership fee requirement and amount. Once completed, the applicant signs and returns the application form to the Secretariat for processing. The Secretariat reviews the application to ensure that it is fully and properly completed and signed. The Secretariat may forward, if necessary, the application to the Council and/or Board for their consideration. Based on the information forwarded by the Secretariat, any Council and/or Board member may request additional information. A request for additional information and/or a decision on membership is conveyed to the applicant by the Secretariat. If none of the Council/Board members objects to granting a membership to the applicant, the applicant becomes a member. 4. Information Sharing and Disclosure IGPN does not rent, sell, or share a member’s information provided in the application form with other people or organizations without a prior consent from the member. 5. Changes to Requirements IGPN may update the requirements. IGPN will notify the members about significant changes in the way it treats organizational/personal information by sending a notice to the primary email address specified in the Membership Application Form or by placing a prominent notice on the IGPN web site. 6. Questions and Suggestions If you have any questions or suggestions, please contact IGPN Secretariat at: International Green Purchasing Network (IGPN) Cosmos Ayoyama, 5-53-67 Jingumae, Shibuya-ku, Tokyo 150-0001, Japan Tel: +81-3-3406-5155 / Fax: +81-3-3406-5190 / Email: igpn@net.email.ne.jp Effective Date: 1 December 2005
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Type of membership

IGPN Membership Application Form (Individual Membership)