ASSOCIATE MEMBERSHIP
INTERNATIONAL GAS UNION
UNION INTERNATIONALE DU GAZ
Application Form
Please complete and return this form to the address indicated below enclosing documentation
that shows the organization is capable of and willing to contribute to the development of the gas
industry by active participation in IGU and in good manner. This entity or its members must own
physical or commercial assets related to the gas value chain, or have an interest in advancing the
global gas industry. Please provide the last available annual report.
Send to:
International Gas Union/Secretariat
Att. Mr. Pål Rasmussen, Secretary General
c/o Statoil ASA
PO Box 3,
1330 Fornebu
Norway
Telephone: +47 51 99 00 00
Fax:
+47 67 80 56 01
E-mail: secrigu@statoil.com
Applicant's Information
Organization or Company (Applicant):
Please fill in a form for each individual organization applying.
Organization Name (complete):
Date of Establishment:
Contact Person 1:
Title of Contact Person:
Name of Contact Person within this Organization:
Organization Address (complete):
Postal Code:
City:
Country:
Phone:
Mobile phone:
E-mail:
1
Fax:
Contact Person 2:
Title of Contact Person:
Name of Contact Person within this Organisation:
Organisation Address (complete):
Postal Code:
City:
Country:
Phone:
Mobile phone:
E-mail:
2
Fax:
Main reasons for applying for IGU Associate Membership (please explain):
In which way will the Applicant demonstrate capability and willingness to contribute actively to
the development of the gas industry through active participation within IGU and in good
manner (please explain):
3
Brief description of the Applicant's activities (and IGU related activities, if applicable):
Date of Submission:
Signature
Title in Organization
4