Associate Membership Application

Please note you will be required to pay the application processing fee of €130 once your application has been processed by ISSA. An invoice will be sent in due course.

PLEASE NOTE: NO APPLICATION FOR ASSOCIATE MEMBERSHIP OF ISSA CAN BE ACCEPTED UNLESS YOUR COMPANY HAS BEEN SUPPLYING SHIPS FOR A MINIMUM OF 2 YEARS.

Associate Membership Application

1. Name of Company
2. Head Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Country
3. Phone
4. Phone (after hours)
5. Email
Enter Email Confirm Email
6. Website
7. Main Contact Name
8. Branch Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Country
9. Name(s) of Proprietor(s)

Enter one name per row. Add extra row by clicking on the +
10. Name(s) of Director(s)

Enter one name per row. Add extra row by clicking on the +
11. Legal Entity
12. Registration Number
13. Date Shipstores business established?
MM slash DD slash YYYY
14. Do you supply ships directly?
15. In what categories of the shipstores trade / shipping related trade do you operate?
- Select All
- Deck
- Slop
- Chest
- Shipping Agency
- Engine
- Medicines
- Spares/Machinery
- Cabin/Pantry/Galley
- Provisions
- Bonded Stores
- Servicing & Engineering
- Other Specialist Details
Specific specialist details
Please add specialist details
16. Sole agencies operated
Company Name Contact Name Email Address
17. Size of warehouse
Size to be provided as m²
18. Size of office
Size to be provided as m²
19. Are the buildings?
- Bonded
- Refridgerated
20. Number of trucks/vans
21. Number of employees
22. Number of employees in ship supply department
(If different)
23. Name and address of foreign representatives

Add another row for multiple entries
24. Name and address of Bankers
25. Are you a member of the Chamber of Commerce or any other Shipping related Association?

Add another row for multiple entries
26. Shipowners regularly supplied
Company name Contact name E-mail address

(N.B. Application will be made to these companies for reference)
27. Other references
Company name Contact name E-mail address

(Preferably from Members of ISSA)
28. How many vessels has your company supplied in the last 12 months?
- 10-50
- 50-100
- 100-150
- 150-200
- 200 +
29. Can you provide us with a photograph of your office warehouse and facilities?
- Yes
- No
30. Is your company certified with ISO or ISM?
- Yes
- No
31. Are you a certified ship supplier in your Country?
- Yes
- No
31A. Is your company ISO9001:2015 certified?
- Yes
- No
32. What is your annual volume of business in US $?
- $50,000 to $250,000
- $250,000 to $500,000
- $500,000 to $750,000
- $750,000 to $1 million
- Above $1 million
33. Have you attended any ISSA convention as a delegate or visitor in the last 10 years?
- Yes
- No
Convention details
Please state Country & Year
34. Will you be able to attend future ISSA Conventions if you become a member?
- Yes
- No
35. Why do you want to be an ISSA member. What benefit do you foresee in being an ISSA member?
36. Do you have a copy of the ISSA Ship Stores Catalogue?
- Yes
- No
ISSA Ship Stores Catalogue comments
Please give your comments about this catalogue in comparison with other Marine stores catalogues.
37. As a supplier in your own country, how would you rate your company?
- In the top 10
- 10-25
- 25-50
- 50-100
- Other
Other
Please provide your rating
Terms & Conditions.*
- By submitting this application I accept the Terms & Conditions
Terms & Conditions.