Transcript this form - International Nut and Dried Fruit Council

Carrer de la Fruita Seca, 4
Polígon Tecnoparc
43204 REUS, Spain
tel.: +34 977 331 416
fax: +34 977 315 028
[email protected]
www.nutfruit.org
Leadership
The INC is the international source of information on nuts and dried fruit for health, nutrition, food safety, statistics, government standards and regulations regarding trade
barriers and agricultural quality standards. INC educates society and promotes scientific research related to health and nutrition to enhance the understanding of the health
effects of nuts and dried fruit, promotes the production of healthy and safe products, and disseminates the results of the scientific studies worldwide.
BOARD OF DIRECTORS
AMBASSADORS
· Giles Hacking, CG Hacking & Sons Limited, UK - Chairman
· Michael Waring, Australia - Chairman
· Khalid Bennani, Morocco
· Pino Calcagni, V. Besana S.P.A., Italy - Vice-Chairman
· Oscar Vergara, Argentina
· Kees van de Sandt, Netherlands
· Mark Mariani, Mariani Packing Company, USA - Vice-Chairman
· Chris Joyce, Australia
· Kees Blokland, Netherlands
· Jordi Martí, Borges S.A.U., Spain - Treasurer and General Secretary
· Frank Vaerewijck, Belgium
· Christopher Harlem, Norway
· Asadollah Asgaroladi, Hassas Export Co. Ltd., Iran
· José Eduardo Camargo, Brazil
· Oliver Sio, Philippines
· Cheng Hung Kay, CHK Trading Co. Ltd., Hong Kong
· Francisco Assis, Brazil
· Jorge Carqueja, Portugal
· Mark Jansen, Blue Diamond Growers, USA
· Ranjeet Wallia, Canada
· Kourosh Mojibian, Russia
· Zhou Jinkui, Fenzhou Yuyuan Native Produce, China
· Siegfried von Gehr, Chile
· Rustam Kushu, Russia
· Barry Kriebel, Sun-Maid Growers of California, USA
· Chen Ying, China
· Amit Khirbat, Singapore
· Ashok Krishen, Olam International Limited, Singapore
· Alexis Sumar, France
· Carl Henning, South Africa
· Maarten Leerdam, Intersnack Group GmbH & Co. KG, Germany
· Richard Monnier, France
· Alex Whyte, South Africa
· Jack Mariani, Mariani Nut Company, USA
· Jan Vincent Rieckmann, Germany
· Miquel Borràs, Spain
· Mark Magnesen, Planters / Kraft Foods, USA
· Cheng Hung Kay, Hong Kong
· Stefan Boden, Sweden
· Stephen Meltzer, Balcorp Ltd., Canada
· Pratap Nair, India
· Varee Phonphaison, Thailand
· Pratap Nair, Vijayalaxmi Cashew Company, India
· Pankaj Sampat, India
· Ahmed Boujbel, Tunisia
· Osman Oz, Aegean Exporters Associations, Turkey
· Asadollah Asgaroladi, Iran
· Muzaffer Taviloglu, Turkey
· Antonio Pont, Borges S.A.U., Spain - Honorary President
· Vitali Levy, Israel
· Hasan Sabir, Turkey
· Sabit Sabir, Sabirlar Findik Ihracat Ltd. Sti., Turkey
· Alessandro Annibali, Italy
· Jafar Moallem, UAE
· Berton Steir, Paramount - Roll International Corp., USA
· Kazuo Julian Tagawa, Japan
· Roby Danon, UK
· Dick Walden, The Green Valley Pecan Company, USA
· Mbugua Ngugi, Kenya
· Marc Rosenblatt, USA
· Michael Waring, MWT Foods, Australia
· Rabih Beaini, Kuwait
· Jeffrey Sanfilippo, USA
· Cuneyd Zapsu, Balsu A.S., Turkey
· Hani Akzam, Lebanon
· Steve Sousa, USA
· Bian Zhen-hu / Chen Ying, China Chamber of Commerce, China
· Parissa Rafii, Luxembourg
· Jim Warner, USA
· Fiodor Slanina, Moldova
· Dang Hoang Giang, Vietnam
OBSERVERS
SCIENTIFIC & GOVERNMENT AFFAIRS COMMITTEE
· Ahmet Bilge Anbarlilar, Balsu A.S., Turkey
· Mohsen Boujbel, Boudjebel SA VACPA, Tunisia
· Mr. Pino Calcagni, Italy - Chairman
· Riccardo Calcagni, V. Besana S.P.A., Italy
· Mrs. Julie G. Adams, USA - Vice-Chairman · Mr. Sam Keiper, USA
· Antonio Pont Jr, Crisol de Frutos Secos SAT, Spain
· Prof. Dr. Uygun Aksoy, Turkey
· Mr. Barry F. Kriebel, USA
· Michael Rund, Bösch Boden Spies, Germany
· Prof. Dr. Güner Arkun, Turkey
· Mr. John O’Neill, UK
· Hasan Sabir, Sabirlar Findik Ihracat Ltd., Turkey
· Mr. Marcel Bruggeman, Netherlands
· Mr. Antonio Pont Jr., Spain
· Harry Sinclair, Planters / Kraft Foods, USA
· Mr. Cory Carter, USA
· Mr. Michael Waring, Australia
· Dr. Cameon Ivarsson, Switzerland
· Mr. Cheng Hung Kay, Hong Kong
EXECUTIVE COMMITTEE
· Giles Hacking - Chairman
· Berton Steir - Board Member
· Pino Calcagni - Vice-Chairman
· Michael Waring - Board Member
· Mark Mariani - Vice-Chairman
· Cuneyd Zapsu - Board Member
· Jack Mariani - Board Member
· Goretti Guasch - Executive Director
· Antonio Pont - Board Member
WORLD FORUM FOR NUTRITION RESEARCH
AND DISSEMINATION
· Prof. Jordi Salas-Salvadó, Spain - Chairman
· Mr. Antonio Pont, Spain - President Delegate INC Executive Committee
Academic Honorary Committee:
SENATORS
· Dr. David Jenkins, Canada
· Dr. Emilio Ros, Spain
· Prof. Gerhard Rechkemmer, Germany
· Prof. Joan Sabaté, USA
· Hubert Berrebi, France
· Don Soetaert, USA
· Helmut Dankert, Germany
· James Swink, USA
Evaluating Nutrition Committee:
· Raoul Gamon, France
· Jack Taillie, Netherlands
· Dr. Cesarettin Alasalvar, Turkey
· Dr. Denis Lairon, France
· Frank Vaerewijck, Belgium
· Dr. Josefina Bressan, Brazil
· Dr. Girish B. Maru, India
· Doug Youngdahl, USA
· Dr. Constance Geiger, USA
· Ms. Maureen Ternus, USA
· Chris Hacking, UK
· Walter F. Payne, USA
· Abbas Rafii, Luxembourg
INC SECRETARIAT
Carrer de la Fruita Seca, 4 - Polígon Tecnoparc | 43204 REUS, Spain | tel.: +34 977 331 416 | fax: +34 977 315 028
e-mail: [email protected] | www.nutfruit.org
December 2014
2015 Application for Membership
The undersigned company applies for membership of the International Nut & Dried Fruit Council. In doing so, the applicant agrees to be bound
by the INC Foundation by-laws. All applications are subject to approval by the INC Board of Trustees and payment of contributions as scheduled
herein. Please note that applications must be completed in full by an authorised signatory of the company.
RETURN THIS
FORM TO:
C. de la Fruita Seca, 4
Polígon Tecnoparc
43204 REUS, Spain
tel.: +34 977 331 416
fax: +34 977 315 028
[email protected]
www.nutfruit.org
MEMBERSHIP
MAGAZINE SUBSCRIPTION
A one-time initiation contribution activates all INC services upon payment. Non
payment of annual contributions nullifies the initiation fee which will be required
again to re-enter as a full INC member.
The Cracker is the official voice of the INC and the international magazine dedicated to the nut and dried fruit industry. Issues: March-July-November.
INC Membership
New Member Initiation Contribution (one-time Contribution):
Annual Contribution:
INC Magazine Annual Subscription (Free):
Annual Subscription 170 €
Please send your advertising rates for the magazine, website
and newsletter
900 €
900 €
0€
PRIMARY MEMBERSHIP CONTACT INFORMATION
TURNOVER
(based on previous year’s company turnover of nuts, dried fruits and related products)
Company Name
DBA (Doing Business As)
VAT Number (Europeans only)
Address
City
Postal Code
State
Country
Phone
Fax
Less than €2M
€2M to €10M
€10M to €50M
€50M to €200M
€200M to €400M
€400M to 700M
€700M to €1,000M
More than €1,000M
STRUCTURE
(tick only one)
Single SiteMulti-SiteCorporate
Web
Single Site Normally small businesses. / Multi-Site Companies with more than one site.
Corporate Global players with offices in a number of countries across the world.
Company Email
Brands
MAIN CONTACTS
Brand names
(if applicable)
(only this 2 contacts will appear at the INC Directory - emails will NOT be public)
Contact 1
Only Presidents, Vice Presidents,
Managing Directors, CEOs and similar
Mr. Ms. Mrs. Prof. Dr. Mark your personal title
Name
Job Title
EMPLOYEES
1-1010-5050-250
Phone
Email
250-1,000
Contact 2
Only Presidents, Vice Presidents,
Managing Directors, CEOs and similar
Mr. Ms. Mrs. Prof. Dr. Mark your personal title
Name
Job Title
(related with nuts, dried fruits and related products)
1,000-3,500
+3,500
HOW DID YOU HEAR ABOUT US? (fair, internet, INC Member...)
Phone
Email
PAYMENT OPTIONS
ADDITIONAL CONTACT (send a separate email for more than one)
Contact 3
Mr. Ms. Mrs. Prof. Dr. Mark your personal title
All costs have to be charged to the issuer of the check or transfer.
Name
Invoice Contact Mr. Ms. Mrs. Mark your personal title
Name
Phone
Job Title
Email
Phone
Job Title
ACTIVITY
Email
(tick the main category and the activities that apply)
Address (If different from above)
Retailer
Manufacturer:
Supplier:
Trader:
Nuts
Dried Fruit
Packaging
Broker
PRODUCTS
Processing
Exporter
Professional Body:
Peanuts
Organic Nuts
Other (state)
Raw Materials
Other (state)
Check
Distributor
Other (state)
Credit Card
Importer
Association/Foundation
Commission
Consultancy
Government
Bank Transfer
American Express
MasterCard
VISA
Name of Cardholder
Card Number
(tick all that apply)
Almonds
Peanuts
Dried Apricots
Apricot Kernels
Pecans
Dried Cranberries
Brazil Nuts
Pine nuts
Dried Figs
Cashews
Pistachios
Dried Grapes
Hazelnuts
Walnuts
Prunes
Macadamias
Dates
Other (state)
/
Expiry Date
Signature CVC
Date:
/
/
DATA PROTECTION: According to the Spanish Data Protection Act of Personal Character (LOPD)
15/1999, we inform you that personal data provided are confidential and are part of files owned by
INTERNATIONAL NUT AND DRIED FRUIT COUNCIL (INC), the purpose of which is to provide you with
information about our activities through electronic means, unless you state otherwise. You can exercise
your rights of access, rectification, cancellation and where appropriate, opposition, by sending a letter
accompanied by a photocopy of your ID to the following address: C/ de la Fruta Seca, 4 -Tecnoparc43204 REUS (Spain), or also by sending an e-mail to [email protected].