Application - Corporate
Name of organisation (if appropriate):
Name of main contact or individual:
Give your name if different to that above:
The names of up to five other representatives you wish to nominate (these people then have the right to attend meetings)



Full address:
Telephone Number:
Fax Number:
E-mail address:
Web site:
Type of organisation (e.g. Company, Partnership, University, Individual):
Number of subsidiary, associated or franchised companies operating GPR systems:

Please note: we also require extra information regarding your application.

You can supply this information along with your payment by post to:

Erica Utsi
Treasurer
European GPR Association
c/o Utsi Electronics
Sarek
Newton Road
Harston
Cambridge. CB2 5NZ
United Kingdom

 A Date of establishment
B Date of first involvement with GPR
C Nature of involvement
D Your current sales literature may be enclosed with this application