Voting Membership Application

Name of Corporation/Institution/not for profit Organisation *

Country Located *

Address *

Address

City

State/Province

Zip/Postal

Country

Telephone # (including codes) *

Email *

Website/URL *

Social Media Handles *

Title *

Name of Representative *

Sex *

Male

Female

Please upload bylaws and Certificate of incorporation (or constitution) for inclusion with your application *

Maximum file size: 516MB

Why are you interested in an Affiliation with GASCDO? *

READ CODE OF CONDUCT

Agree to Code of Conduct *

I hereby accept the terms described in the GASCDO's Voting/Non-Voting Members Accreditation and Code of Conduct Declaration

Dated this day *

Signature of Representative (Please note that by entering you full name constitutes a binding authorization) *

Title and Name of Voting Organization *

Date of Completion *

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