Application Form Corporate Member Please note that all fields are required INFORMATION OF THE ORGANISATION Organisation Name Type: (company: , association, university, etc.) Business Address Number of employees / members CONTACT PERSON First Name Last Name Current position * Phone (###) ### #### Email * ORGANISATION PROFILE - Research Interest Line of Business Selection of related projects Main interest in being part of EuroXR: Why would you like to be part of the Association?, Which is the added value you can bring to our Association? I declare that I have read the Association Statutes, that I understand them and that I agree to be bound by them (together with a link to the Statutes) * Yes I declare that I have been informed about the membership fees, and I commit to pay them (together with a link to the membership fee table) * Yes I understand that the membership is not automatic, and that my application must be approved by the Association’s General Assembly * Yes I understand that the membership does not expire automatically after a period of time, and that I will be a member until my resignation or termination by the General Assembly * Yes I declare that I am entitled to commit my organization, and that I can provide proof of the same upon request * Yes Application Received Thank you for your submission. We confirm that your application has been successfully received. Our Advisory Board will carefully review all applications, and you can expect to receive a response within approximately 1 to 2 weeks. Should you require any further information in the meantime, please do not hesitate to contact us at info@euroxr.org.