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 indicate) please specify Last Name 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 * Type of Organisation DLM Votes Price * Suppliers (Small) National Archives 5 2 €875 €875 Less than Annual Sales €1million Consultants (Large) Other Public Archive 2 5 €875 €2500 25 or more Full Time Commercial Archives / Consultants (Small) 2 2 €875 €875 Company Archives Less than 25 Full Time Staff €2500 Universities 2 Sponsors / Donors 2 €325 up Public Agencies 2 Individual Persons 1 €325 €275 Accredited Test Centres Regulatory Bodies 2 2 €325 €1500 accredited test centres Associate Members Associations 5 Students can join as Associate 0 €875 €75 (Greater than 101 Members) Members Associations (Small) 2 0 Honorary Members €325 €0 (Less than 100 Members) Suppliers (Large) 5 Annual Sales of or €2500 €1million more
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 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 * Type of Organisation DLM Votes Price * National Archives 5 €875 Suppliers (Small) Less than €1million Annual Sales 2 €875 Other Public Archive 2 €875 Consultants (Large) 25 or more Full Time 5 €2500 Commercial Archives / Company Archives 2 €875 Consultants (Small) Less than 25 Full Time Staff 2 €875 Universities 2 €325 Sponsors / Donors 2 €2500 up Public Agencies 2 €325 Individual Persons 1 €275 Regulatory Bodies 2 €325 Accredited Test Centres accredited test centres 2 €1500 Associations (Greater than 101 Members) 5 €875 Associate Members Students can join as Associate Members 0 €75 Associations (Small) (Less than 100 Members) 2 €325 Honorary Members 0 €0 Suppliers (Large) Annual Sales of €1million or more 5 €2500
DLMForum_Membership_Application_Form_v8.docx