International Rubber Study Group
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Application Form
Application Form
*
denotes compulsory field
Contact Information
Organisation:
*
Post Address:
*
Organisation web address:
*
e.g. http://www.rubberstudy.com
(If none, please state N.A.)
Contact Person:
*
Designation:
*
Email Address:
*
(Note: This email address will be used as the login user name to IRSG Member’s Area)
Telephone (General Line):
*
(In this order: Country Code + City Code + Telephone number)
Telephone (Direct Line):
*
(In this order: Country Code + City Code + Telephone number)
Fax:
(In this order: Country Code + City Code + Fax number)
Billing Contact Information
Contact Person:
*
Designation:
*
Email Address:
*
Business interest in the elastomer industry, please tick box:
Direct:
1. Manufacturing
2. Natural Rubber Production
3. Synthetic Rubber Production
4. Trade
Indirect:
1. Rubber Chemicals
2. Rubber Industry Consultants
3. Rubber Literature
Other Please State:
Annual fees for Associate Member: (please tick box)
SGD 4,000 for companies in
IRSG member countries **
SGD 6,000 for companies in non-IRSG member countries
Additional:
Additional Comments :
(Optional)
Note: Payment by Invoice.