I, the undersigned, on behalf of the organisation indicated below, apply to join the DLM Forum. Organisation / Institution Mr / Mrs / Miss / Ms / Dr / Other Salutation please specify (Please indicate) Last Name First Name Position Email Address Town Region Country Zip Code Telephone Fax If the person above is not to be the company’s nominated assigned delegate to the DLM Forum, please provide additional details for the correct person. Please only complete details if different to those submitted above. Mr / Mrs / Miss / Ms / Dr. / Other Salutation please specify (Please indicate) Last Name First Name Position Email Address Town Region Country Zip Code Telephone Fax Please indicate the type of membership you wish to apply for; Type of Organisation DLM Votes Price * National Archives 5 875 € Other Archives 2 350 € Regulatory Bodies 2 350 € Enterprises (Large) 5 875 € (Greater than 250 Members) Enterprises (Medium) 4 700 € (Members between 50-249) Enterprises (Small) 3 525 € (Members between 10-49) Enterprises (Micro) 2 350 € (Members between 5-9) Enterprises (Other) 1 175 € (Members between 0-4) 1 Individual Person 175 € Honorary Members 0 0 € * Annual Subscription
I, the undersigned, on behalf of the organisation indicated below, apply to join the DLM Forum. Organisation / Institution Salutation (Please indicate) Mr / Mrs / Miss / Ms / Dr / Other please specify Last Name First Name Position Email Address Town Region Country Zip Code Telephone Fax If the person above is not to be the company’s nominated assigned delegate to the DLM Forum, please provide additional details for the correct person. Please only complete details if different to those submitted above. Salutation (Please indicate) Mr / Mrs / Miss / Ms / Dr. / Other please specify Last Name First Name Position Email Address Town Region Country Zip Code Telephone Fax Please indicate the type of membership you wish to apply for; Type of Organisation DLM Votes Price * National Archives 5 € 875 Other Archives 2 € 350 Regulatory Bodies 2 € 350 Enterprises (Large) (Greater than 250 Members) 5 € 875 Enterprises (Medium) (Members between 50-249) 4 € 700 Enterprises (Small) (Members between 10-49) 3 € 525 Enterprises (Micro) (Members between 5-9) 2 € 350 Enterprises (Other) (Members between 0-4) 1 € 175 Individual Person 1 € 175 Honorary Members 0 € 0 * Annual Subscription
DLMForum_Membership_Application_Form_v9.docx