Round Table on Responsible Soy Association

BECOME A MEMBER

APPLICATION FORM

Note: Required fields are marked with an asterisk(*)

GENERAL INFORMATION

¿How did you learn about the RTRS?

from a RTRS member

from the press

other

What are your motivations is applying for the RTRS membership?

APPLICATION FOR PARTICIPATING MEMBERSHIP

Soy Farmer / Producer

Producer Association

Individual Producer

Industry, Trade & Financial Institutions

Industry

Trade

Financial Institution

Civil Society

Environmental

Social

Consumer Organization

APPLICATION FOR OBSERVER MEMBERSHIP

Multilateral Development Agency

Research /Academia

Government Agency

NAME AND DETAILS OF ORGANIZATION

Audit/Consultancy company

Name*

Fax

Address*

E-mail *

Telephone*

Web

City

Country

NAME OF REPRESENTATIVE AND / OR SUBSTITUTE

Representative

Name *

Fax

Address *

E-mail *

Telephone*

Substitute

Name *

Fax

Address

E-mail *

Telephone

MEMBERSHIP FEES

Membership fees vary in accordance with the category of membership.The following membership fees apply to RTRS.

Producer Associations and Producers10.000 ha

EUR 2.500

NGO :(with the following threecharacteristics: internationals, from a developed country, and with an annualbudget over 250.000 euros). NGOswith only one or two of the indicated characteristics should apply as"All Others.

EUR 2.500

Industry, Trade & Financial Institutions

EUR 2.500

All Others

EUR 250

NOTE: For the purposes of membership fees, small scale producers are defined as individual producers with a production area smaller than 10.000 ha. In order to qualify in this category please attach a description of your production area (in ha) having regard to regional and local definitions of scale. For the purpose of membership fees, international Civil Society Organizations in developed countries with an annual budget under Euro 250.000 must provide documentationin order to qualify for this category.

INSTITUTIONAL INFORMATION*

Pleaseprovide a brief description of the organization (200 words) includingmission statement, goals and relationship to the soy value chain andareas of interest in the RTRS.