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Registration form for membership within the PolyApply Associated Network

Contact Person

Mrs/Ms * Mr *
Title, First name *, Last name *
Organisation name:
Position:
Department:
Postal adress  
Street: *
Postal Code, City: *
Country: *
 
Telephone, Fax:
Email: *
Organisation or department URL:
URL of working unit:
Number of people in your work unit:
I accept being publically listed (name, organisation, logo and link) as a PolyApply Associated Network Member on www.polyapply.org
I am interested in receiving hardcopies of the PolyApply newsletter sent to the address indicated.

Please give a brief description of goals, scope and activities of your organisation :

In what way is your organisation prepared to participate in and contribute to the PolyApply project?
by accepting student trainees
by attending workshops, courses, and/or summer schools
by teaching at summer schools
by contributing to the PolyApply newsletter
by participating in project proposals to EC programmes
by acting as a test centre for certain applications
other (please specify)

Type of organisation:
Other Organisation (please specify):
 
I am interested to participate in defining technical and environmental standards and contribute to the roadmapping of low cost organic electronics. This work is done within the PolyApply User Group. Membership within this group is restricted to commercial enterprises.
 
By checking this box you permit the storage of your contact data for internal purposes in the PolyApply project.*
By checking this box you permit the storage of your contact data for business related issues.*

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Please send your logo (low-resoluted gif or jpg-version) to schinabeck@vdivde-it.de