LGBC

THE APPLICATION FORM

To become a member of the Lebanon Green Building Council (LGBC) simply fill out the appropriate details of the form hereby.

Membership will not be activated until we have reviewed your application and received your membership fee payment.

MEMBERSHIP FORM

Title:
Name:
Birth:
Nationality:
Email:
Telephone/Fax:
Mobile:
Company Name:
Address:
City:
Street:
PO Box:
Country:

This is a:
	Home Address		Business Address

I would like to apply for the following grade:
Full Member	100 US$
Corporate Member	500 US$
Student Member	25 US$

Kindly fill out the applicable:

Educational record:

College or University:

Graduate study:

Professional registrations:

Other memberships:

Company name:

Name of business:

Please attach a photocopy of your Identification card to this form.
Checks must be payable to LGBC in US dollars or Lebanese Pounds.
Kindly e-mail or fax back the completed form.