Global partner membership application form

Global Partner - membership application form

Name of company (full legal name):

Company registered address:

City:

Zip:

Country:

General phone number:

General email address:

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):

Does your company accept PDF invoices?

Yes, please provide email address to be sent to

Name of the company’s officer authorized to represent the company in Hydrogen Europe and sign documents

Authorised person name:

Authorised person position:

Authorised person email:

Authorised person tel:

Single Point of Contact: Please indicate the main company representative for hydrogen activities. This person will always receive all the communication materials and might be appointed as delegate to represent company at events, including General Assembly.

Single Point of Contact name:

Single Point of Contact email:

Single Point of Contact telephone:

Members only area Point of Contact: This role will take care of members-only-area accesses.

Members only area Point of Contact name:

Members only area Point of Contact email:

Market and Project Point of Contact: This role will be in regular contact with relevant members of the Hydrogen Europe’s Intelligence team. For questions related to the company’s technology, project deployment, or other market related questions.

Market and project Point of Contact name:

Market and project Point of Contact email:

Market and project Point of Contact job title:

Presentation of your organisation:

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

Overview of hydrogen investments planned for current and next year:

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

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

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

Why would you like to join Hydrogen Europe? (50 to 150 words):

Annual group consolidated accounts for the last year of performance:

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

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

(a) Having a legal personality;

(b) Being duly constituted in accordance with the laws and practices of its country of origin;

(c) Being a for-profit legal entity, i.e. a legal entity having as purpose to generate profits to be distributed between its founders, shareholders and/or disrectors;

(d) Having its registered office or its principal place of business in any other territory then the ones referred in Article 6.1 (d) of Hydrogen Europe’s Bylaws;

(e) The country where it has its registered office has concluded a(n) (partnership) agreement or a memorandum of understanding with the EU or with EU Member States or with the Association (i) regarding amongst others hydrogen and (ii) which is relevant for the realisation of the non-profit purpose of the Association; and

(f) Complying with Article 15.1 of Hydrogen Europe’s Bylaws.

Select size An entity that is controlled by a majority stakeholder (i.e. a controlling stake of >51%) will need to provide the turnover, balance sheet total and staff headcount figures for that entity, as well. In this way, the fee applied is reflective of the financial means of the controlling stakeholder or wider group of companies, where applicable. This is in the spirit of equitable contribution across our community of members, as an Association with a non-profit purpose. The size category and membership fee are determined according to a combination of up to three metrics: staff headcount, balance sheet total, and annual turnover (revenue).
Please select the size category which describes your organisation best. If you are uncertain, please contact members@hydrogeneurope.eu.

Large

with an annual membership fee of 25.000€ – in the following case:

- Have a turnover of €2bn or more, irrespective of the staff headcount or balance sheet total.

Intermediary

with an annual membership fee of 18.000€ – in either of the following two cases

- (A) have a balance sheet total of more than €43m and (B) have a turnover between €50m and 2bn, irrespective of the staff headcount.

- (A) have a staff headcount above 250, and (B) have a turnover of less than €2nb, irrespective of the balance sheet total.

Medium

with an annual membership fee of 8.500€ – in either of the following two cases:

- (A) have a staff headcount between 50 and 249 and (B) have a balance sheet total between €10m and €43m, irrespective of the turnover.

- (A) have a staff headcount between 50 and 249 and (B) have a turnover between €10m and €50m, irrespective of the balance sheet total.

Small

with an annual membership fee of 5.700€ – in either of the following two cases:

- (A) have a staff headcount between 10 and 49 and (B) have a balance sheet total between €2m and €10m, irrespective of the turnover.

- (A) have a staff headcount between 10 and 49 and (B) have a turnover between €2m and €10m, irrespective of the balance sheet total.

Micro

with an annual membership fee of 3.800€ – in either of the following two cases:

- (A) have a staff headcount below 10 and (B) have a balance sheet total below €2m, irrespective of the turnover.

- (A) have a staff headcount below 10 and (B) have a turnover below €2m, irrespective of the balance sheet total.

I hereby confirm that the above-mentioned company 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 formally understand and accept the rights and obligations therein.

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

By signing this form, 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’s Europe Bylaws.

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

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.

Fee payment according to joining date

Membership fee covers calendar year and not 12 months from joining date.

January to June = full payment is billed

July – December = 50% of fee is billed

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