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Join/Application form

Company or Organisation *

Address *

City *

country *

Tel. *

Fax

Email *

Representative name *

Representative function *

Activities

Explain the activity of your company / organisation in the smart security sector (for companies, please mention primary service or technology and market offered)
Explain your motivation



Membership to Eurosmart
Which level of membership to Eurosmart do you target ? *

• Level 1 : Executive members - Solutions and services providers in the smart security area (20 000 €)
• Level 2 : Active members - Solutions and services providers in the smart security area (10 000 €)
• Level 3 : Partners - Issuers, operators and commercial organisations with an interest to stay abreast of the smart security technology (7 000 €)
• Level 4 : Associated members - Universities, educational institutions, governments, public labs and non profit organisations (Free)
To which working group are you interested to participate? *

Do you accept that Eurosmart website uses the logo and link of your company for general marketing purpose? *

As an exchange, do you accept to expose Eurosmart’s logo and link on the website of your company/organisation? *



Eurosmart contacts in your company
Primary member point of contact *

Names of active members to be included in Eurosmart database

Other contacts in the company, who should receive Eurosmart news, newsletter, etc


Please retype the following safety code exactly in the field




* These fields are mandatory.