PARTNER USD MEMBERSHIP FORM

FORMULAIRE D'ADHÉSION - Participant

Programme de certification environnementale de l’Alliance verte
Company *
Corporate overview*
Address

Street Address

Street Address Line 2

CityState

Zip Code
Green Marine contact person within your organization*

First nameLast name
Title*
Email*
Phone*
Contact person within your company to handle European requests (if applicable)? This contact will be added to your partner profile on the Green Marine and Green Marine Europe websites.

First nameLast name
Email
Phone
Which partners' category better suits your activities?*

Engineering and environmental consultingEnergy companiesShippers, Logistics & Ship managersIndustry services, products & technology providersPilotageR&D, response, training & cooperativeCassification societies, verification & vetting services
Eligibility statement *
Briefly explain how your product or service contributes to better environmental performance.
Keywords that are relevant to your organization.
These words will inform the search engine and will be linked to your partner profile in our directory of environmental products and services (e.g. bilge water, engineering, GHG, LNG, recycling, etc.). Consider consulting the Green Marine program to identify the most relevant keywords for participants.
Please upload your logo (PNG format preferred. JPG, EPS, PDF also accepted)

The logo will be used on your company's profile on Green Marine Partners directory page.
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Communications

Yes, add my email to the Green Marine distribution list (you can unsubscribe or manage your preferences as you wish).
Number of employees (The rates provided below are waiving the remaining months of 2024 and encompass the entirety of the 2025 membership. Your membership will remain valid until December 31, 2025, and you will be invoiced for a full-year membership in January 2026)*
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Partner - 50 employees or less
$805.00

Partner - More than 50 employees
$1,345.00

Total

$0.00
Date*

MonthDayYear

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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FORMULAIRE D'ADHÉSION - Participant