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Last Name *
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Acting for

Organisation *
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Postal Code *
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Telephone *
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Email *
Website

Requests the admission of the above organisation to ATAG as a

Type of admission * Funding Member
Active Member
Supporting Organisation
(Please tick only one box)

Organisation Information

Type of Company/Organisation and description *
Type of members
Number of members
Number of Employees
When and where is your next General Meeting/General Assembly

Contribution to ATAG

Annual Contribution to ATAG (US$) *
An invoice and payment instructions will be sent to you upon receipt of this form.

It would be helpful if you could send a hard copy of your organisation's most recent Annual Report to
Air Transport Action Group
33 route de l'Aeroport
P.O. Box 49
1215 Geneva 15
Swizerland