Observer application

Request to become an EPSO observer

Our organisation would like to become an observer to EPSO:

Please complete this form and send to us by:
 e-mail: (epso@epsomail.org )
fax: (+32-2-213-6269)
mail: European Plant Science Organisation, EPSO, Rue de l’ Industrie 4, 1000 Brussels, Belgium).

Name of the organisation:
Original:
English:

Address of the organisation:

Scope of the organisation:
(E.g. consumer, industry etc.; European Organisations; National organisation or individual company etc; and which interest it has in EPSO / plant science)

Head of the organisation, including address:

Representative of the organisation for EPSO, including address:

Additional comments (if you wish):

Completed by:

Date: