Wood Heat Association - Membership Form 2015

1.1 Company details 1.2 Primary contact

1.3 Billing contact

Company Name

Website

Company e-mail

Address


Name
Telephone
E-mail

Job Title

Address

Postcode Postcode Postcode

1.4 Your business in Wood Heat This text will initially form your member directory entry on the REA website

1.5 Your company’s main area of business

Main activity Additional activities Main activity Additional activities

Chip producer/distributor

Pellet manufacturer/distributor

Boiler importer/distributor

Boiler installer

Log producer/distributor

Log stove manufacturer

Log stove installer

Ancillary equipment supplier/importer

/ / / Testing company/laboratory
Energy crop grower
Forest industry body, forest owner, land agent
Finance organisation
Insurance company
ESCo provider
Academic institution/public sector/regional or local authority/NGO
Consultant

Other

/ /

Membership Grade Corporate turnover p.a. Associate Affiliate

1.6 Membership category (Fees exclude VAT at the prevailing rate) Corporate turnover p.a. (£m)







* Affiliate members will be consultants or those not directly trading within the wood heat industry

1.7 REA Sector groups

REA sector groups are only available to WHA members in the Small Corporate category and above, who will automatically become REA members (subject to you signing this form and accepting the Bye-laws). Any WHA members in categories below Very Small Corporate do not qualify for REA sector groups. If you are in one of these categories and would like access to REA membership, you may do so by paying the WHA Very Small Corporate category fee. If you have elected to join the REA, please list the individuals in your company and the sector group(s) they wish to participate in

Name Email







N:

E:

N:

E:

N:

E:

1.8 What prompted you to join the WHA

1.9 WHA members’ e-mail circulation list

Please list the names and e-mail addresses of the person / people to be included on our main e-mail circulation list to receive newsletters and information of interest to members. (Please continue on a separate sheet if necessary.)

Name & Job Title / Email address

To apply for membership, please complete this form and return it to us by

email to or by fax to 020 7925 2715

or by post to: Wood Heat Association, 25 Eccleston Place, Victoria, London SW1W 9NF

Tel: 020 7925 3570

www.woodheatassociation.org.uk

1.10 Additional REA services

The REA has negotiated a portfolio of business services for members to save you time, money and give you a competitive advantage. If you wish to opt out of receiving information on these companies please tick here

The REA has a range of commercial opportunities. If you’re not responsible for the marketing and advertising budget please let us know who is.

Name Email Job title

Corporate memberships (i.e. not corresponding) will be listed on the WHA with the contact details and the profile you have submitted here. Please tick here if you would prefer not to be listed.

By signing below I confirm I agree to adhere to the Association’s Bye-Laws and accept the Terms and Conditions.


Signed Print Name Date