MEMBERSHIP APPLICATION FORM 📌 To become a member, complete the form below: MEMBERSHIP APPLICATION FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastDate of BirthGenderMaleFemaleOtherNationalityAddressPhone NumberEmail *Membership Type (Select One)Ordinary Member – Actively participates in cooperative activities and benefits from services.Associate Member – Supports the cooperative’s objectives but does not engage in decision-making.Honorary Member – Recognized for significant contributions to clean energy and sustainability.Professional Information Payment to & Why do you want to join HOSENERGIE?How would you like to contribute? (Select all that apply)VolunteeringFinancial Support/DonationsTechnical ExpertiseResearch & InnovationAdvocacy & Awareness CampaignsBusiness & EntrepreneurshipOtherMembership Fees & Payment DetailsRegistration Fee: 10,000 XAF Annual Membership Fee: 25,000 XAFPayment MethodBank TransferMobile MoneyCashDate & TimeSubmit
