European regions – membership application form

European regions - membership application form

Name of company (full legal name):

Trading name:

Registered address:

City:

Postal code:

Country:

General phone number:

General email address:

Website:

CEO/Managing Director name:

CEO/Managing Director job title:

CEO/Managing Director email:

Invoicing address (if different from above):

Invoice contact name:

VAT number:

(VAT number must be validated by VIES at http://ec.europa.eu/taxation_customs/vies/ Otherwise, Belgian VAT (21%) will be applicable)

Purchase order number procedure (please include contact details and steps required, if any):

Do you accept PDF invoices?

Yes, please provide email address to be sent to

Authorised Officer to represent the company and sign documents

Authorised Officer name:

Authorised Officer job title:

Authorised Officer email:

Authorised Officer phone:

Single Point of Contact: Please indicate the main representative for hydrogen activities.

Single Point of Contact name:

Single Point of Contact email:

Single Point of Contact job title:

Single Point of Contact phone:

General Assembly Voting Representative:

General Assembly Representative name:

General Assembly Representative email:

General Assembly Representative job title:

General Assembly Representative phone:

Short bio of the region (50 words) to be included in Hydrogen Europe Quarterly Magazine:

allowed file types: pdf, doc, docx, ppt, pptx, jpg, png. Maximum file size: 5Mb

Logo vectorized:

allowed file types: pdf, eps, ai. Maximum file size: 5Mb

Logo A4 size, 100dpi:

allowed file types: pdf, jpg, png. Maximum file size: 5Mb

I hereby confirm that the above-mentioned entity is financially viable and earning sufficient revenue to cover Hydrogen Europe membership fees.

I hereby acknowledge that I am aware of the content of the Bylaws of Hydrogen Europe and its Charter, Code of Conduct and formally understand and accept the rights and obligations therein.

I have read and agree to the privacy policy of Hydrogen Europe.

By ticking this box, I understand that my organisation becomes a member, subject to Hydrogen Europe’s Bylaws and approval of the Board, as detailed under the following link. Please note that, according to Hydrogen Europe’s Bylaws, each member will pay an annual subscription fee for each calendar year as per issued invoice. Membership is renewed and an invoice issued automatically at the beginning of each year, unless it is cancelled as stated in article 13 of Hydrogen Europe’s Bylaws.

By signing this form, I agree that all disputes between you and Hydrogen Europe aisbl are subject to Belgian law, excluding any conflict of law principle.

About European Regional Membership as per Article 8 of Hydrogen Europe’s Bylaws

The category of European Regional Membership is open and accessible to any legal entity cumulatively meeting the following criteria:

Having the legal personality;
Being duly constituted in accordance with the laws and practices of its country of origin;
Being a regional public authority, i.e. (i) any public administration, including public advisory bodies, at regional or local level; (ii) any legal entity performing public administrative functions under national law, including specific duties, activities or services in relation to the environment; and (iii) any legal entity having public responsibilities or functions, or providing public services relating to the environment under the control of a body or person falling within (i) or (ii);
Having its registered office or its principal place of activity in the territory being composed of (i) the EU, (ii) the EEA, (iii) the Associated Countries, (iv) the Candidate Countries, (v) the United Kingdom and (vi) Switzerland; and
Complying with all of these Bylaws.

There shall be only one (1) European Regional Member per region.

Membership services

By providing personal data/contact details to Hydrogen Europe aisbl and/or entering into a membership with Hydrogen Europe aisbl, implies that all registered contacts are fully informed about, and fully accept the organization's privacy policy without any reservation, including being contact for membership related matters.

Membership fee

Membership fee for the full calendar year is 3,000 EUR. Members joining after June, need to pay 50% of membership fee and this fee is covering period until 31/12 of calendar year.

Membership approval process

1. Fill out the above form.

2. Membership applications are subject to the approval by the Board of Directors.

3. In case of any other questions please email us at members@hydrogeneurope.eu.

Hydrogen Europe Membership, Avenue Marnix 23, 1000 Brussels, Belgium
Tel: +32 2 540 87 75 l Email: members@hydrogeneurope.eu l Website: www.hydrogeneurope.eu