Dear António Nogueira Leite, Fórum Oceano – Associação da Economia do Mar, Board’s President, ______ Local _____, ___ date ___ SUBJECT: FORUM OCEANO MEMBERSHIP APPLICATION TO PURCHASE THE QUALITY OF ASSOCIATE. The organization _______________________________________________________________________, headquartered at _____________________________________________________________________________, VAT nº __________________ registered at the Companies Registry under the number ___________________ and with a share capital of EUR __________________________, comes, hereby, request. its admission as an Associate of the private and non-profit association called Fórum Oceano – Associação da Economia do Mar (Association of the Sea Economy), headquartered at Polo do Mar da UPTEC, Avenida da Liberdade, S/N, in the parish of Leça da Palmeira, Matosinhos municipality, Portugal, whose corporate purpose is the promotion of the Sea Cluster; (Association Stamp and LEAR signature) Attached required to this document: – Informative Data of Applicant Organization 1/2 INFORMATIVE DATA OF APPLICANT ORGANIZATION 1. Organization’s Name: Headquartered at: Phone: URL: Fax: E-Mail (general): Name of the organization contact person: Contact person position at the organization Contact person e-mail: Contact person phone: 2. Row(s) covered by the Organization activity (tick please): Aquaculture Fishing, Conservation, Fish Processing and Marketing Marine Industries Ports, Transport and Maritime Security Marine Energies Nautical sports and Tourism Knowledge and Technological Development Services Other Specify: 3. Other data about the Organization: VAT number: Date of establishment Size (turnover): At: (year) Economical work code: Main Products / Services provided by the Organization: Main destination markets (Please specify the countries): 4. Within your Organization activity area, please specify: i. the expected contribution of the Cluster to the development of your Organization. ii. the potential contribution which the Organization can provide for the development of the Cluster. 2/2 Workstations: (At the time)