Membership Request

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Membership Request

Membership

(Please select as Appropriate)

Full Member

Associate Member

Business Partner

Organisation Name

Registered Country

Year Established

Telephone

Fax

Website

Name

Designation

Mission Statement

Level of Activity

National

Regional

International

Task and Activity

Is your company a member of other associations?

Yes

Please mention the name of the association.

Do you have a branch in the Kingdom of Bahrain that will deal directly with GDA?

Yes

License / C.R. Number

Full Office Address

Area

Office Telephone Number

Address Information

Address

City

State / Province

ZipCode

Country

Mailing Address

(if different from above)

Single Point of Contact (Primary) Please Click here to read "Roles and Responsibilities"

Title

First Name

Middle Name

Last Name

Gender

Male

Female

Designation

Country

Telephone

Mobile

Single Point of Contact (Secondary)

Title

First Name

Middle Name

Last Name

Gender

Male

Female

Designation

Country

Telephone

Mobile

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Payment can be made by credit card, cheque, or wire transfer. Cheque and money order should be payable to Gulf Downstream Association (GDA), must be the exact invoice amount and in US Dollars.

Payment Method

Cheque

WireTransfer

OnlineBanking

Bank Details

Gulf Downstream Association

Ahli United Bank B.S.C. – Manama, Bahrain

A/C No.: 0016-228687-001

IBAN No.: BH90AUBB00016228687001

SWIFT: AUBBBHBM

Currency: US Dollars

Payment Method

Cheque

Wire Transfer

Online Banking

Bank Details

Gulf Downstream Association

Ahli United Bank B.S.C. – Manama, Bahrain

A/C No.: 0016-228687-001

IBAN No.: BH90AUBB00016228687001

SWIFT: AUBBBHBM

Currency: US Dollars

As an authorised representative of this organisation, I affirm that all information written/submitted/indicated
in this Membership Application Form is true and accurate.

Printed Name

Date

Signature

Company Stamp

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