Membership Application Form 2017 – page 1Company name:

:liamE:eman tcatnoC

:etisbeW:enohP

Address:

Country:

(Please tick the relevant boxes to indicate your Industry Sectors and the in-house Services that you offer. This information is entered into the ECPAdatabase, enabling potential clients to refine their search when looking for an outsourcing partner with the appropriate facilities for their project.)

INDUSTRY SECTORS

Food

Drink

Cosmetics/Toiletries

CO-PACKING

Gift Packing

Hand Packing & Re-work

Kitting, Collation & Assembly

Garment Processing

POS Assembly

Shelf-Ready Packaging

Design & Print

Labelling/Barcoding

Sleeving

Shrink Wrapping

Flow Wrapping

Bagging/L-Sealing

Cello/Over Wrapping

Blister/Clam Packing

Netting/Clip Stripping

Palletising

Export packing

FULFILMENT

Mailing

Promotions

Direct Marketing

E-Commerce

Procurement

Call Centre Services

LOGISTICS

Warehousing

Pick & Pack

Distribution

Supply Chain Management

Bonded Warehousing

Air/Ocean Freight

Pharmaceutical/Medical

DIY/Horticulture

Pet Care/Veterinary

Household/Automotive

Chemical/Agrochemical

Leisure/Entertainment

FILLING

Liquids

Creams/Pastes

Powders/Granules

Tablets/Capsules

Sachets/Pouches

Stick-Packs

Tubes

Bags

Glass

Non-Glass (plastic, metal, board)

Bottles/Jars

Pots/Tubs

Trigger Sprays/Pumps

Aerosols

Vials

Blisters

Tetra/Gable Tops

Bag-in-Box

Carton/Box

Jerricans/Drums

CO-MANUFACTURING

Formulation

Processing/Blending

Grinding/Sieving

Please go to page 2

ACCREDITATIONS

BRC Food

BRC Storage & Distribution

ISO 9001

ISO 13485 Medical Devices

ISO 14001

ISO 22716

IFS Food

IFS Cash & Carry Wholesale

IFS Logistics

IFS HPC

FSSC 22000

HACCP

Certified Organic

Kosher

Sedex

Laboratory Services

Clinical Trials

New Product Development

Clean Room

Chilled/Frozen

Pasteurisation/Retort

Gas Flushing

European Co-Packers Association Boterberg 18, 5047 ST Tilburg, NetherlandsT: +44 (0)7715 258 987 E: membership@ecpacopacking.com ecpacopacking.com

Registered Office: Boterberg 18, 5047 ST Tilburg, Netherlands

Membership Application Form 2017 – page 2Company name

ADDITIONAL REGIONAL LOCATIONS (If any)

The location of your main office (as entered on page 1) will be marked on your profile page map and also on the Map of Members on the ECPA website. If you have locations in any other regions of Mainland Europe where you conduct co-packing or co-manufacturing operations, please list their postcodes below (4 maximum), so that they can be included on our database for future developments:

2 edoctsoP1 edoctsoP

4 edoctsoP3 edoctsoP

COMPANY DETAILS

Annual turnover < €1m €1-4m €4-8m > €8m

No. of employees < 25 25 - 50 50 - 200 > 200

Year Co. launched

2016MEMBERSHIP RATES (based on company turnover)

(Please note subscriptions are subject to BTW at the current rate)

€ 0.2-4m: € 1000 € 4-8m: € 1250 > € 8m: € 1500

The subscription covers a full 12-month period from the time of joining.

I WISH TO APPLY FOR ECPA MEMBERSHIP

eman tnirPdengiS

etaDnoitisop ynapmoC

We agree to abide by the ECPA Code of Conduct

Please email pages 1 & 2 to: membership@ecpacopacking.com

What happens next

Once we receive your Application Form, we will be in touch to arrange an appointment for the Audit Visit. The duration of the visitis approximately 2 hours.

Once your audit visit has been completed and your application accepted, we will email you the subscription invoice. Your entries on theECPA website and Members e-Marketing Database will normally be activated within two days of receipt of the subscription payment.

The additional data we require at that stage is:

YOUR COMPANY LOGOA low-resolution version in any of the following formats to feature on your profile page (jpg, png, gif, tiff or eps).

150-WORD PROFILE TEXTA summary of what your company does, enabling potential customers to quickly assess the types of services you offer when they viewyour profile page on the ECPA website.

ADDITIONAL EMAIL ADDRESSESThe ECPA Members e-Marketing Database can include up to 4 email addresses for your key personnel and generic ones such as info@ or sales@.