Company Stamp DIGITALEUROPE AISBL Rue Joseph II, 20 B-1000 Brussels Belgium 1- 1- Application Form Herewith the company ________________________________________________ applies for membership to DIGITALEUROPE AISBL. Company/National Trade Association Data Registered Address Street: Zip code: City: Country: Phone: Fax: e-mail: website: VAT Number: Company Representative Name: Title: Phone: E-mail: DIGITALEUROPE Rue Joseph II, 20 >> B-1000 Brussels [Belgium] T. +32 2 609 53 10 >> F. +32 2 609 53 39 www.digitaleurope.org >> 1 of 4 In order to proceed with the evaluation of your application, we kindly ask you to provide us with some information on the activities of your association/ company. Please answer the following questions. For National Trade Associations only: 1. Are you a non-governmental national association? 2. Which country do you represent? 3. Which sub-sectors of the Digital Technology Industry do you represent in your Country (e.g. Information Technologies, Communication Technologies, Consumer Electronics)? 4. In which DIGITALEUROPE Policy Groups do you wish to participate? ___________ For companies only: 1. In which European countries do you have a centre of operations (European in a geographic sense)? 2. In which Digital Technology Industry activities are you engaged in Europe (for e.g. in electronics hardware or software marketing, development, services, manufacturing)? 3. In which European countries are you engaged in Digital Technology activities mentioned above? 4. In which European countries do you have major operations (marketing, development or services)? 5. In which European countries do you have substantial R+D and/or manufacturing facilities? 6. To which national associations in Europe do you belong? 7. With which national associations are you currently negotiating membership? 8. In which DIGITALEUROPE Policy Groups do you wish to participate? >> 2 of 4 For all applicants: We hereby state that __________________________________ fully complies with the principal objectives of DIGITALEUROPE as set forth in Article 3 of the DIGITALEUROPE Statutes. We hereby state that we agree to abide by the Statutes and Bylaws of DIGITALEUROPE. We accept the membership fee as decided by the DIGITALEUROPE General Assembly and agree to pay within four weeks pursuant to the Executive Board's approval of our membership. We are aware of the full admission procedure. _____________ Name ______________ Date ______________ Signature ________________ Position/Title >> 3 of 4 ABOUT DIGITALEUROPE DIGITALEUROPE is the pre-eminent advocacy group of the European digital economy acting on behalf of the information technology, consumer electronics and telecommunications sectors. We are dedicated to improving the business environment, and to promoting industry’s contribution to economic growth and social progress in the European Union. DIGITALEUROPE ensures industry participation in the development and implementation of EU policies. DIGITALEUROPE’s members include 62 leading corporations and 40 national trade associations from all the Member States of EU; altogether 10,000 companies with 2 million employees and €1,000 billion in revenues. You can learn more about our activities via http://www.digitaleurope.org THE MEMBERSHIP OF DIGITALEUROPE COMPANY MEMBERS: Adobe, Acer, Agilent, Alcatel-Lucent, AMD, Apple, Bang & Olufsen, Bose, Brother, Buffalo, Canon, Cisco, Corning, Dassault Systems, Dell, EADS, Epson, Ericsson, Fujitsu, Hitachi, HP, IBM, Ingram Micro, Intel, JVC, Kenwood, Kodak, Konica Minolta, Lexmark, LG, Loewe, Micronas, Microsoft, Mitsubishi, Motorola, NEC, Nokia, Nokia Siemens Networks, Nortel, NXP, Océ, Oki, Oracle, Panasonic, Philips, Pioneer, Qualcomm, Research In Motion, Ricoh International, Samsung, Sanyo, SAP, Sharp, Siemens, Sony, Sony Ericsson, STMicroelectronics, Technicolor, Texas Instruments, Thales, Toshiba, Xerox. NATIONAL TRADE ASSOCIATIONS: Austria: FEEI; Belgium: AGORIA; Bulgaria: BAIT; Cyprus: CITEA; Czech Republic: ASE, SPIS; Denmark: DI ITEK, IT-BRANCHEN; Estonia: ITL; Finland: FFTI; France: ALLIANCE TICS, SIMAVELEC; Germany: BITKOM, ZVEI; Greece: SEPE; Hungary: IVSZ; Ireland: ICT IRELAND; Italy: ANITEC; Lithuania: INFOBALT; Netherlands: ICT OFFICE, FIAR; Poland: KIGEIT, PIIT; Portugal: AGEFE, APDC; Romania: APDETIC; Slovakia: ITAS; Slovenia: GZS; Spain: AETIC, ASIMELEC; Sweden: IT&TELEKOMFÖRETAGEN; United Kingdom: INTELLECT; Belarus: INFOPARK; Norway: ABELIA, IKT NORGE; Switzerland: SWICO; Turkey: ECID, TESID, TÜBISAD; Ukraine: IT UKRAINE >> 4 of 4