CORPORATE MEMBERSHIP APPLICATION FORM

PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS

We (name of company)

Wish to become Corporate Members of the Tunnelling Association of Nigeria

Company Representatives
(no. according to level of membership –
see table below) / Company Position / Email Address

From time to time you may be sent promotional material from the TAN (e.g. event notices, links to online broadcasts of TAN presentations) or from third party organisations.

Tick this box if you do not wish to be included in mailshots from the TAN

Tick this box if you do not wish to be included in mailshots from third party organisations

Please confirm the name of the rep who will be the main contact for your organisation and will receive correspondence, subscription renewal notices etc:

Name

/

Signature

/

We would like to apply for the following grade of corporate membership (see below for current rates):

Membership / Number Representatives / Nigeria / Overseas
SMALL SIZED FIRMS
(up to 30 employees) / Up to 2 Company representatives / ¨ / ¨
MEDIUM SIZED FIRMS
(31 to 100 Employees) / Up to 3 Company representatives / ¨ / ¨
LARGE SIZED FIRMS
(over 100 employees) / Up to 5 Company representatives / ¨ / ¨

Please register your company address below:

Address Line 1
Address Line 2
Address Line 3
State /Region
Country
Tel no.
Fax no.

In the space below please indicate your organisation’s nature of business and Potential involvement in the tunnelling industry:

If your membership application is successful we will register your named representatives to receive Our designated Tunnelling magazine.

Please also send a jpeg version of your company logo to the TAN Membership Team (at ) and we will place this on our website (Sponsorship page) with it linked to your official website)

TAN MEMBERSHIP RATES & INFORMATION

CORPORATE MEMBERSHIP RATES 2016

No. of Employees / No of Company Representatives
(up to) / Copies
Tunnelling Journals
(up to) / NIGERIA / Overseas
(up to 30) / 2 / 2 / N100,000 / £300.00
(31 to 100) / 3 / 3 / N250,000 / £550.00
(Over 100) / 5 / 5 / N500,000 / £750.00

MEMBERSHIP DISCOUNTS

As our subscription year runs from January to December, we offer discounts to new members joining later in the year:

Time of Joining / Discount / Membership expires
1st Jan – 30th June inclusive / None / 31st Dec of year of joining
1st July – 30th Sep inclusive / 50% / 31st Dec of year of joining
1st Oct – 31st Dec inclusive / No charge for current year, but full year rate owing for following year / 31st Dec of following year

Please post, fax or email completed membership application forms to:

TAN Office

Tunnelling Association of Nigeria

Plot 5, 118

Modupe Odulami

Oniru Lekki

Lagos 105102

Email:

Application Instruction:

Step 1: Fill the form and email to

Step 2: You will receive a unique membership number.

Step 3: Make the appropriate payments to the Association’s bank account using details below

Association Bank Account Details:

Bank: Zenith Bank Nigeria

Account Name- Association of Tunnelling Operators Nigeria

Account Number: 1014873670

For further information, please visit our website www.tunnellingnigeria.org

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TAN Corporate Membership Application Form 2016