Application for Membership of JOIFF

International Organisation for

Industrial Emergency Response and Fire Hazard Management

Application for Membership of JOIFF

Please note:

The Directors of JOIFF at their absolute discretion may refuse to accept an application for membership from any person and/or organisation without assigning any reason therefore.

Please save this document to your computer, add your details and email a copy to the address provided below.

1. Choose Membership Category (add P to preferred option):

Full Member:

Your Organisation is a high hazard Industry and/or has nominated Emergency Responders.

Corporate Member:

Your Organisation does not comply with the requirements for Full Membership but wishes to become involved with and support JOIFF.

2. Contact details (please type in your details):

Your Name:

Position held in Organisation:

Organisation Name:

Address:

Telephone Number:

Email address:

Company Website:

3. Applications for Full Membership:

Number of Emergency Responders (please type as appropriate)

Full time: Part time:

4. Brief detail of activities of Organisation applying:

5. Other Nominees

Full and Corporate Members can nominate up to 3 persons to represent them.

This is optional, not a requirement.

2nd Nominee (if applicable)

Name:

Position held in Organisation:

Telephone Number:

Email address:

3rd Nominee (if applicable)

Name:

Position held in Organisation:

Telephone Number:

Email address:

6. Date of Application

Application made by: Date:

Please email completed Application Form to fulcrum. *****@***ie

JOIFF Secretariat Fulcrum Consultants
P. O. Box 10346, Dublin D14 NY27, Ireland.

Tel. + 353 87 242 9675. Email: fulcrum. *****@***ie