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Becoming a Member

COG Membership Application

Membership Application Form

Please fax to: +44 (0) 1727 871 336 or mail to: Component Obsolescence Group International Ltd, Unit 3, Curo Park, St Albans, Herts, AL2 2DD, UK


We would like to apply for membership of the Component Obsolescence Group and accept the terms of reference agreed by the Group.

You may either print this form to mail or fax, or pay on-line via our secure server

Contact Details
 

Notes:

This data may be used by the Component Obsolescence Group through and TMT Conferences Limited to inform you of future COG events and membership benefits.

 



Payment Details
 
Please check applicable box
Please send an invoice
Please find cheque attached * (If sending by post)
Please find purchase order attached (If sending by post)
You may either:
Print the form to fax or post (You may enter credit card details by hand if required.)

Or pay on-line by credit card using our secure server

Mastercard, Visa and Amex Credit Cards accepted  Protected and secured by Thawte. Click to verify.

Payment by Credit Card Note: Subject to a 3.0% charge
Card type Visa MasterCard Amex
Card number
Security Number Last three digits (For Amex, last 4 digits on FRONT of card)
Expiry Date Month  Year
Cardholders Name
Billing Address
Card Holders Signature ________________________________