ARE MEMBER ORGANISATION/COMPANY INFORMATION
Organisation/Company name:
Name of parent organisation (if applicable):
Marketing name[1] (if different from organisation name):
Legal status of company:
Full Address:
Company reg. number:
Company VAT number (only if based in Europe):
Website:
Date of establishment:
CONTACT INFORMATION
Company representative
First Name / Last Name / Position / Phone / Email
Billing contact (if different from Company representative)
First Name / Last Name / Position / Phone / Email
Other contacts
First Name / Last Name / Position / Phone / Email

NOTE:

TYPE OF MEMBERSHIP
Type of Membership / Annual turnover / Annual fee / Please tick
Full Member / > 45 Mio. € / 6,000 € / ☐
> 5-45 Mio. € / 3,000 € / ☐
< 5 Mio. € / 1,500 € / ☐
Based in a developing country
(< 2.5 Mio. €) / 1,000 € / ☐
Financial institution / Irrespective of turnover & location / 2,000 € / ☐
Associate Member[2]
(only for academia, non-profit organisations and NGOs) / Irrespective of turnover & location / 1,000 € / ☐
Start-up[3] / Irrespective of turnover & location / 500 € / ☐

·  To handle administration for new Members, ARE charges a one-time only 200 € administrative fee in addition to the below fee.

·  Membership is automatically renewed for the following year unless termination notice is received by 30 September 2017 (see ARE Statutes[4], Article 8).

DECLARATION AND SIGNATURE:

I agree to pay the membership specified above and abide by the Bylaws of the Alliance for Rural Electrification (please ask Secretariat for a copy if necessary).

Name of person signing: Position of person signing:

Date: ______Signature: ______

Type of organisation / Expertise / Business model
Academia / Research Institute ☐ / (D)ESCO ☐ / ABC model ☐
Consultancy ☐ / Advocacy ☐ / Community based ☐
Corporate Firm ☐ / Association ☐ / Dealer ☐
Crowdfunding ☐ / Capacity Building ☐ / Fee-for-service ☐
Development & EPC & OM Contractor ☐ / Consultancy ☐ / Financier ☐
Development Organisation ☐ / Engineering ☐ / Hybrid ☐
Finance Institution ☐ / Finance & Investment ☐ / Installer ☐
Foundation ☐ / Manufacturer ☐ / License ☐
Government Agency ☐ / Prepaid Metering ☐ / (D)ESCO ☐
Microfinance Institution ☐ / Product Sales ☐ / Manufacturer ☐
NGO ☐ / Project Developer ☐ / NGO / philanthropy ☐
Non-profit Organisation ☐ / Project Management ☐ / Pay-as-you-go ☐
Renewable Energy Solution Provider ☐ / Research Academia ☐ / Pay-to-own ☐
Small or Medium Entreprise ☐ / Service Provider ☐ / Public utility ☐
Technology Provider ☐ / Supply & Construction ☐ / Other (please specify) ☐
Other (please specify) ☐ / Technology Provider ☐
Training ☐
Utility – Energy Sector ☐
Women Empowerment ☐
Other (please specify) ☐
Types of systems technologies
Grid connected / Mini-grids / microgrids / Stand-alone systems
Solar PV / ☐ / ☐ / ☐
Hydro / ☐ / ☐ / ☐
Wind / ☐ / ☐ / ☐
Bioenergy / ☐ / ☐ / ☐
Energy storage / ☐ / ☐ / ☐
Inverters/power components / ☐ / ☐ / ☐
Other (please specify) / ☐ / ☐ / ☐
Area of activity / Activities per continent, region & country
Urban ☐ / List regions you are active in
List countries you are active in
Peri-urban ☐
Rural ☐
Islands ☐
Organisation description
Please provide a short description of your organisation / company (max. 150 words).
What made you to apply for ARE Membership? / Which ARE services do you see most value in?
ARE Secretariat/Board of Directors ☐ / Business development & contacts ☐
ARE website ☐ / Business promotion & marketing ☐
ARE newsletter ☐ / Knowledge & intelligence ☐
ARE Member (please specify) ☐ / Events & B2B matchmaking ☐
Business partner (please specify) ☐ / Access to finance ☐
News, press release or article (please specify) ☐ / Advocacy & influencing policy ☐
Event (please specify) ☐ / Research & publications ☐
Other (please specify) ☐ / Other (please specify) ☐
Additional comments

Alliance for Rural Electrification
Rue d’ Arlon 69-71 - 1040 Brussels - Belgium
Tel: +32 2 709 55 42

Email:

www.ruralelec.org

2

[1] Name to be used in all ARE marketing & communication materials.

[2] No right of vote.

[3] The start-up fee is only valid for the 1st year of membership. Start-ups will automatically be upgraded to the full member category from the 2nd year of membership onwards.

[4] ARE statutes can be found here