1 Start 2 Page 2 3 Payment 4 Complete Page 1 of 4 Membership application form Institution/Organisation name: * Address * Address Line 2 Address Line 3 City * Postcode * Country * AfghanistanAlbaniaArgentinaAustraliaAustriaBangladeshBarbadosBelgiumBotswanaBrazilCameroonCanadaChileChinaCocos (Keeling) IslandsColombiaCongo, The Democratic Republic of theCroatiaCyprusCzech RepublicDenmarkEgyptEstoniaFinlandFranceGambiaGermanyGhanaGreeceHong KongHungaryIndiaIndonesiaIran, Islamic Republic ofIrelandItalyJapanJordanKazakhstanKenyaKorea, Republic ofKuwaitLatviaLebanonLiberiaLithuaniaLuxembourgMalaysiaMaltaMexicoMozambiqueNetherlandsNew ZealandNigeriaNorwayOmanPakistanPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSaudi ArabiaSingaporeSlovakiaSloveniaSouth AfricaSpainSwedenSwitzerlandTaiwanTanzania, United Republic ofThailandTurkeyUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsVenezuelaViet NamZimbabwe Telephone No. * Email * Legal Structure VAT Number Website Address Please provide 50-100 words about the knowledge exchange and commercialisation activities of your organisation for the profile on our website: * Approximate number of employees within your organisation who undertake TT/KT or provide support or advisory services relating to TT/KT * - Select -Fewer than 1011 – 2021 – 5050 – 100100 – 150150+N/A What other associations are you members of? * AIRTO ARMA ASTPProton AUTM EuKTS NCUB NONE of those listed Please Specify Other relevant Memberships Which KEC activities are you involved in? (Select all that apply) Student Enterprise Licensing Negotiating Research Contracts Collaborative Research Contract Research Funding Applications New Venture Creation Consultancy Business Development How did you hear about PraxisAuril? * What is your main reason for joining PraxisAuril as a member? * Please tick the member benefits which will be most useful to you * Updates and news Member only events e.g. Directors Forum Member discounts e.g. annual conference Opportunity to promote your organisation's work using our website and other communication platforms PraxisAuril's advocacy activity: have your views represented e.g. in Government consultations Free recruitment advertising via our website Ability for staff in your organisation to apply for Registered Technology Transfer Professional (RTTP) status Access to resources and templates Volunteering – get involved through supporting our committees and wider volunteering opportunities Sponsorship opportunities Network opportunities Other Please Specify Other CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Next Page >
