EMN Service Member or Affiliate Partnership Application Your Company InfoUpload a Company logo(Required)Max. file size: 150 MB.Company Name(Required)Company Trading Name (if different)Company Address(Required) Street Address Address Line 2 Town County Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Different for invoicing purposes?(Required) Yes No Billing DetailsCompany Name(Required)Billing Address(Required) Street Address Address Line 2 Town County Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing Email(Required) Billing Contact Name(Required) First Last How would you like to pay?(Required) Monthly Direct Debit Invoice Company InfoCompany WebsiteCompany LinkedInContactsPrimary Contact Name(Required) First Last Primary Contact Job Role(Required)Please SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherPrimary Contact Email(Required) If (Primary Contact Job Role) is other please specifyPrimary Contact Phone Number(Required)Your contacts to receive updates from the network.Please provide up to 9 more contacts within your company that you would like to receive EMN information and newsContact 1 - Name First Last Contact 1 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 1 - Email If (Contact 1 Job Role) is other please specifyContact 2 - Name First Last Contact 2 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 2 - Email If (Contact 2 Job Role) is other please specifyContact 3 - Name First Last Contact 3 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 3 - Email If (Contact 3 Job Role) is other please specifyContact 4 - Name First Last Contact 4 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 4 - Email If (Contact 4 Job Role) is other please specifyContact 5 - Name First Last Contact 5 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 5 - Email If (Contact 5 Job Role) is other please specifyContact 6 - Name First Last Contact 6 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 6 - Email If (Contact 6 Job Role) is other please specifyContact 7 - Name First Last Contact 7 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 7 - Email If (Contact 7 Job Role) is other please specifyContact 8 - Name First Last Contact 8 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 8 - Email If (Contact 8 Job Role) is other please specifyContact 9 - Name First Last Contact 9 - Job RolePlease SelectPrimary (MD/CEO/Senior Leader)HROps & FinanceMarketingSalesProcurement/PurchasingOtherContact 9 - Email If (Contact 9 Job Role) is other please specify Main area of work that you want to engage with & promote through the Engineering & Manufacturing Network.LegalMarketing & SalesHR & RecruitmentFinance & InvestmentAccountancy & Tax CreditTech & Digital TransformationEnergy & WaterSecurity and/or Cyber SecurityStandards, Accreditations, Health, Safety, and QualityWhy do you want to join the Engineering & Manufacturing Network community?How do your services fit/differentiate themselves from other Affiliate Partners or Service Provider Members?Please provide a link to a published recommendation/case study or testimonial from at least one Engineering & Manufacturing company.(Required) By submitting this application, I understand that we are liable for an annual membership payment and agree to follow the Engineering & Manufacturing terms, conditions and values:(Required) I Agree• EMN is an engineering and manufacturing community that it’s members are proud to be a part of; • Our focus is to provide tangible benefits for our members; • We are trusted to provide impartial peer to peer advice and support and are approachable, friendly, helpful and accessible; • 80 % of our members will be from the Engineering & Manufacturing Sector and we endeavour to retain this split at our events with an 80% representation; • Our focus will always be our Engineering & Manufacturing members needs and this drives 100% of our activity • We are a targeted Network/Community, not an open cluster View Terms & Conditions HerePlease note that your information will be held in line with our Privacy Policy(Required) I agree to the privacy policy.View Privacy Policy HereCAPTCHA Δ
