INTERCARGO ASSOCIATE MEMBERSHIP APPLICATION FORM

INTERCARGO Associate Membership Application

(Any Non-Shipowning, Operating or Ship Management Company which supports aims and objectives)

Please complete the form below and submit by pressing the "Submit Application" button at the end. Alternatively, print off the form and fax back to INTERCARGO on +44 (0)20 7977-7031 or post to the address at the bottom of the form

1. APPLICANT DETAILS
Name of Applicant:
Address:
Telephone No.:
Fax No.:
Email Address:
Website:

2. CONTACT NAME AND ADDRESS


3. RELEVANT DETAILS
Nature of Applicant's Business
Do you accept the terms of the Members Charter?	YES NO

Privacy Statement

INTERNATIONAL ASSOCIATION OF DRY CARGO SHIPOWNERS
9th Floor, St Clare House, 30-33 Minories, London EC3N 1DD
Telephone : +44 20 7977-7030, Fax : +44 20 7977-7031

1. APPLICANT DETAILS

2. CONTACT NAME AND ADDRESS

3. RELEVANT DETAILS