AEA Member Questionnaire

"*" indicates required fields

Step 1 of 6

MARKETING INFORMATION

Please provide the following information about your organization for display on our website.

Member Name*

Company name as you'd like displayed

Company Headquarters*

City & Country

Logo upload

Transparent and .png preferred

Drop files here or

Max. file size: 64 MB.

Company website*

Company Boilerplate/"About us" text (200 words max)

Key Areas of focus

Please provide 3 or more words to describe the key areas of focus of your organization e.g, Fuel Cells, Storage, Innovation

Keyword 1

Keyword 2

Keyword 3

Active LinkedIn page

Please enter a valid URL. Select + if you would like to add more active Social Media channels

COMMUNICATION AND PARTICIPATION

With whom should we communicate?

Who is the Key Account Holder?*

The Key Account Holder is in charge of making decisions on behalf of the Member. This person authorizes membership renewal, designates committee participants, and votes in AEA elections

Self

Other

If Other - Please indicate*

First Last

Email*

Role / Job Title*

Country*

City*

Additional Membership Contacts

All other key employees who should have access to AEA Member Benefits.

These individuals will be invited to register as users of the Member Area of the website and will receive member notices such as event invitations, working group announcements, discount codes, etc. All Member Contacts (including the Key Account Holder) are subscribed to our weekly email newsletter

Different Membership tiers are able to add different numbers of additional Contacts, as follows:

Members - 2 additional Contacts
Silver Members - 5
Gold Members - 10
Platinum Members - Unlimited

Please indicate your Membership tier*

Members

Silver

Gold

Platinum

Are there any additional Membership Contacts you would like to add?*

Yes

Additional Contacts

Please indicate: Name (First & Last), Email, Job Title and Country

Alternatively, please upload additional Contacts as a .csv file

Max. file size: 64 MB.

MEMBERS DIRECTORY

We are currently developing a Members-only section of our website with resources, opportunities for committee involvements and a directory you can use to contact your fellow Members.

Please note that personal information will not be displayed in this directory. Messages between Members will be sent via feedback forms and facilitated by the AEA team.

Although focused on Member-to-Member contact to begin with, we would like to extend this service to non-Members as well. Please indicate below if you would be happy to be contacted via a publicly-available directory.

Would you like to be contacted through the membership directory?*

Yes

Yes - and I am happy to be contacted by non-Members as well

If Yes - Please indicate contact details for directory*

First Last

Email*

Role / Job Title*

Country*

Is there anything in particular you’d like to see included in this new website section that would enhance your membership experience with AEA?

Privacy Notice: The information provided will be held in compliance with GDPR regulations. This questionnaire is entirely voluntary and you can withdraw all information at any time. All data provided in this form will be strictly used for the purpose of delivering benefits of membership. Information will be handled, stored and used only by the Ammonia Energy Association. For further information please contact Alexandra Johnson ([email protected])*

I agree to the privacy policy.

THANK YOU FOR COMPLETING OUR QUESTIONNAIRE - PLEASE SUBMIT USING THE BUTTON BELOW!

If you have any questions or are unsure about any items in the survey, please contact our Stakeholder Relations Manager, Andrea Guati Rojo ([email protected]), for guidance.

AEA Member Questionnaire