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