Want to become a member?

A. Membership Application Questionnaire

The information you provide will be treated in confidence and will be disclosed only to the Membership Committee and Executive Comittee of the ESA in the process of the consideration of your application

Please give full Company name
I confirm my Company application for:
Full membership
Associate membership
Scientific membership

Please select one

As an ESA Member, my Company would wish to participate in the work of the:
Elastomeric & Polymeric Seals Division
Expansion Joints Division
Flange Gaskets Division
Mechanical Seals Division
Packings Division

Please select all wich apply

If elected to the membership, our key Company representative(s) would be:

B. About your Company

Please answer the following questions in support of your application:

2. Do you have a government affairs or European affairs department?
No
Yes

Contact detail

 years
6. What is the annual turnover of sealing products of your Company in Europe? (including subsidiaries)

Please select one on each side

(a) Worldwide
Up to 1 million €uro’s
1 - 5 million €uro’s
5 - 20 million €uro’s
over 20 million €uro’s

(a) in Europe
Up to 1 million €uro’s
1 - 5 million €uro’s
5 - 20 million €uro’s
over 20 million €uro’s

If your Company is part of a larger Group, what is the annual turnover of sealing products of the entire Group?

Please select one on each side

(a) Worldwide
Up to 1 million €uro’s
1 - 5 million €uro’s
5 - 20 million €uro’s
over 20 million €uro’s

(a) in Europe
Up to 1 million €uro’s
1 - 5 million €uro’s
5 - 20 million €uro’s
over 20 million €uro’s

7. How many staf does your Company employ directly in Europe?
(a) in total
up to 20
21-25
51-100
101-300
301-1000
over 1000
(b) research / development staf
up to 5
6-10
11-15
16-20
21-25
over 25
(c) manufacturing staf
up to 10
11-25
25-50
51-75
76-100
over 100
(d) administrative staf
up to 5
6-10
11-15
16-20
21-25
over 25
(e) sales/marketing staf
up to 5
6-10
11-15
16-20
21-25
over 25
9. For which ISO standards is your Company accredited?

Please select all which apply

ISO 9001 series
ISO 14001 series
ISO 18001 series
Other

Thank you for completing the questionnaire. Now submit the form to the ESA (button below), which will initiate the membership application process.