Honorary 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.

Honorary 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
Specific specialist details
Please add specialist details
Terms & Conditions.*
- By submitting this application I accept the Terms & Conditions
Terms & Conditions.