Application for Allied Membership
Please print and return this form to:
Mailing Address: Pacific Power Association, Private Mail Bag, Suva, Fiji Islands
Or Fax: (679) 302 038
ORGANISATION
| Organisation Name: | ||
| Mailing Address: | City: | |
| State: | Postcode: | Country: |
| Tel: | Fax: | Email: |
| Courier Address: | ||
CHIEF EXECUTIVE OFFICER
| Prof / Dr / Mr / Mrs / Miss | Surname: | Given Name: |
| Title: | ||
ROUTINE CONTACT PERSON FOR PPA (Person for PPA to send correspondence to)
| Prof / Dr / Mr / Mrs / Miss | Surname: | Given Name: |
| Title: | ||
BUSINESS ACTIVITIES
| Primary Activity: | ||
| Secondary Activity: |
EQUIPMENT CATEGORIES (Mark with an X each category you wish to be listed under)
| Cable Accessories | Insulators | Silencers | |||
| Cables | Lighting | Storage tanks | |||
| Communications | Maintenance Systems | Switchgear | |||
| Computer Systems | Mechanical Auxiliary Systems | Transformers | |||
| Control & Monitoring Systems | Metering & Instrumentation | Vehicles | |||
| Cooling Systems | Poles | Ventilation Fans | |||
| Domestic Electrical Accessories | Power Generation | Voltage Control | |||
| Hand & Line Tools | Protective Devices | ||||
| Information Systems/Software | Renewable Energy Systems |
SERVICE CATEGORIES (Mark with an X each category you wish to be listed under)
| Demand Side Management | Lubricants & Fuels | Testing Service | |||
| Design Services | Mechanical Repairs | Training | |||
| Electrical Repairs | Power System Studies | Turnkey / Design Build | |||
| Financial Services | Project Management | Utility Management | |||
| Installation Services | Resource Planning |
| Amt due (US$) | Funds Enclosed | ||
| Application Fee | $100 | ||
| 1st Year Membership Fee | $2500 | ||
| TOTAL PAID WITH APPLICATION | $2600 | ||
| Please note: Payment should be by International Bank Draft in US Dollars which states a US Drawee Bank or via Telegraphic Transfer to Pacific Power Association's Bank Account as follows:
Account: 05138058 |
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