Join Energy Assistance asbl/vzw (Belgium)

If you are an active or retired employee of a company that is or has been part of the ENGIE group, you can become an effective member of Energy Assistance asbl/vzw and be kept informed of activities, participate in events and vote at the Annual General Meeting.

The annual membership fee for full members is 20€. You can make a donation in addition to your membership fee. Your membership fee will be used in full to finance our projects.

Membership, more than a fee
More than a financial contribution, your membership shows your solidarity for the purpose of our association. Your moral and financial support gives us weight, especially towards our donors, thank you.

To become an adherent member (5€) or effective member (20€ but reserved for current or past members of the ENGIE group) please fill in the following form and send it to us.  After reviewing the application, EA will send you confirmation of your registration.

Membership Application Form

    Family Name
    First Name
    Date of birth
    Nationality

    Home Address
    Telephone
    Mobile
    Email

    Company/Entity

    ActiveRetired

    Telephone
    Mobile
    Email

    Languages

      None Basic Advanced Mastered Bilingual Mother Tongue
    French 0 - None 1 - Basic 2 - Advanced 3 - Mastered 4 - Bilingual 5 - Mother Tongue
    Dutch 0 - None 1 - Basic 2 - Advanced 3 - Mastered 4 - Bilingual 5 - Mother Tongue
    English 0 - None 1 - Basic 2 - Advanced 3 - Mastered 4 - Bilingual 5 - Mother Tongue
    German 0 - None 1 - Basic 2 - Advanced 3 - Mastered 4 - Bilingual 5 - Mother Tongue
    Italian 0 - None 1 - Basic 2 - Advanced 3 - Mastered 4 - Bilingual 5 - Mother Tongue
    Spanish 0 - None 1 - Basic 2 - Advanced 3 - Mastered 4 - Bilingual 5 - Mother Tongue
    Others

    Skills

    Technical

    Others:

    Non Technical

    Others:


    Comment


    Membership


    Volunteer