Organisation APPLICATION FOR MEMBERSHIP Organisation Name by sdaferv

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									APPLICATION FOR MEMBERSHIP
Organisation
Name: Address: Tel: Fax: No of employees: Annual Turnover: Up to £1m £5m - £40m Key Contact Person Name: Position: Address: (if different to above) Email: Website: Other contacts for the Genesis Faraday email distribution list: Name: Email: Name: Email: Name: Email: £1m - £5m Over £40m Type of Organisation (tick only one box) University Research Institute Intermediate organisation (e.g. RTO, levy board, trade body or charitable trust) Commercial Company, Partnership or grouping of breeders Species relevant to your organisation: (Tick all that apply) Cattle Ducks Farmed Fish Pigs Poultry (broilers) Poultry (layers) Sheep Turkeys Other please specify: Academic Partners areas of expertise: (Tick all that apply) Quantitative Genetics Molecular Genetics: Pathogens Methodologies Host Disease Resistance Growth & Development Fertility Product Yield/Quality Animal Health: Epidemiology Chemotherapeutics and Vaccines

I hereby apply for membership of the Genesis Faraday on behalf of the above named organisation. I understand that membership guarantees no specific benefits, but members will all receive access to Faraday information, technology translator support and membership events. A membership fee is charged (see over page). Members may resign at any time. Name: Position:
Data Protection Act 1998 The personal information contained within this member application will be treated in confidence and will not be disclosed to any third parties other than to direct Partnership members to organisations with relevant interests. Your personal data will be held by us and used to contact you from time to time regarding future events.

Signature: Date:

Please FAX to 0131 527 4335 or email to info@genesis-faraday.org
Sponsored by the Scottish Executive, Defra, DTI and BBSRC The Farm Animal Genetics and Genomics Faraday Partnership Ltd. (Registered No: SC239934) Roslin BioCentre, Roslin, Midlothian, EH25 9PS

Membership Fees
Membership fees are based on sector and size of organisation. The following membership fee structure is in place. We would like to emphasise that this fee structure does not cover the full costs of the estimated benefits for our members. Organisation Type Academic Industrial 1 - 5 employees 6 - 20 employees 21 - 100 employees 100 + employees Intermediate 1 - 5 empoyees 6 - 20 empoyees 20+ Annual Fee £2000*

£100 £350 £1500 £2500

£100 £350 £1500

* Discounts may be available for small academic groups. The membership year is from July to June. Members joining part way through the year will be invoiced a pro-rata fee. Applications for membership will be considered at the next available Board meeting and acceptance will be subject to the agreement of sponsors

Sponsored by the Scottish Executive, Defra, DTI and BBSRC The Farm Animal Genetics and Genomics Faraday Partnership Ltd. (Registered No: SC239934) Roslin BioCentre, Roslin, Midlothian, EH25 9PS


								
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