International Cable Protection Committee


Sharing the seabed in harmony with others

You are here : Home > Join the ICPC > Application Form

ICPC Membership Application Form

Membership of the ICPC is available in four classes as defined on the Join the ICPC page. If your organisation is eligible to join the ICPC, please complete the required details below.

Subject to acceptance by ICPC's Executive Committee, you will then be sent a copy of the Membership Agreement [?] for signature and the annual Membership Invoice for payment.
Organisation Name
Class of Membership
Please refer to Section 2 of the Membership Agreement to determine the class of membership that your organisation is qualified to apply for, then select the relevant option below.
Status (Full Membership applications only)
Please refer to Section 1 of the Membership Agreement to determine the definition that describes the primary business of your organisation, then select the relevant option below.
Submarine Cable Details (Cable Owners and Maintenance Authorities only)
Please list the cables that qualify your organisation for membership of ICPC.
ICPC Representatives
Please supply details of the primary and alternate contact persons for your organisation below.
Primary Contact
Title

First Name

Middle Name

Last Name

Job Title

Telephone Number

Cell/Mobile Number

Fax Number

Email Address

Address


Alternate Contact
Title

First Name

Middle Name

Last Name

Job Title

Telephone Number

Cell/Mobile Number

Fax Number

Email Address

Address


Organisation Details
Telephone Number
Fax Number
Website Address
Address 1 Address 2 Address 3 Zip/Post Code Country VAT Number
(not applicable for selected Country)
Registrant Details
If the Registrant is not the Primary or Alternate contact above, please enter your details below.

Title

First Name

Middle Name

Last Name

Job Title

Telephone Number

Cell/Mobile Number

Fax Number

Email Address

Comments
If you have any comments or additional information regarding your Membership application to the ICPC, please enter them in the box below.