Corresponding Members Form

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How to become a Corresponding Member of
Coordinated by
KOPACEK KG
Beckmanngasse 51
A-1140 Vienna
[email protected]
T: +43 1 2982020
F: +43 1 87606619
www.isl-group.at
Please fill in and FAX to +43 1 87606619
Name: ...................................................................................................................................
Organisation: .......................................................................................................................
Department/Institute: ...........................................................................................................
Street: ...................................................................................................................................
Postcode & Country: ...........................................................................................................
Phone: ..................................................................................................................................
Fax: .......................................................................................................................................
Email: ....................................................................................................................................
Homepage: ...........................................................................................................................
Type of Organisation:
 Company
 University
 Research Org.
 Public Authority
 Education/Training
 Private
 Other: …………………………
 51 – 250
 251 – 500
 > 500
 Production
 Logistics
 Retail
 Collection
 Recycling
 Waste Treatment
 Research
 Education/Training
 Press
 Library
 Multiplier
 Other: ……………….
Employees:
 1 – 50
Activity:
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