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GENERAL INFORMATION How did you learn about the RTRS? from a RTRS member from the press   other   What are your motivations is applying for the RTRS membership?   APPLICATION FOR PARTICIPATING MEMBERSHIP Soy Farmer / Producer Industry / Trade / Finance Civil Society Producer Association Industry Environmental Trade Trade Social Individual Producer Financial Institution Consumer Organization

APPLICATION FOR OBSERVER MEMBERSHIP     Multilateral Development Agency         Research /Academia         Government Agency

NAME AND DETAILS OF ORGANIZATION Name* Fax Address* E-mail * Telephone* Web City Country

NAME OF REPRESENTATIVE AND / OR SUBSTITUTE Representative Name of Representative* Fax Position* E-mail * Telephone*     Substitute Name of Substitute* Fax Position* E-mail * Telephone*

MEMBERSHIP FEES Membership fees vary in accordance with the category of membership.The following membership fees apply to RTRS. Producer Associations and Producers>10 000 ha EUR 2.500 NGO (with the following threecharacteristics: internationals, from a developed country, and with an annualbudget over 250.000 euros). NGOswith only one or two of the indicated characteristics should apply as"All Others" EUR 2.500 Industry EUR 2.500 All Others EUR 250 NOTE: For the purposes of membership fees, small scale producers are defined as individual producers with a production area smaller than 10.000 ha. In order to qualify in this category please attach a description of your production area (in ha) having regard to regional and local definitions of scale. For the purpose of membership fees, international Civil Society Organizations in developed countries with an annual budget under Euro 250.000 must provide documentationin order to qualify for this category.

INSTITUTIONAL INFORMATION* Pleaseprovide a brief description of the organization (200 words) includingmission statement, goals and relationship to the soy value chain andareas of interest in the RTRS.

ADDITIONAL INSTITUTIONAL INFORMATION Pleaseattach copies of institutional or corporate documents that may provideadditional information on the organization’s activities to support theapplication request. Documents may include: Environmental and Corporate Social Responsibility filed under voluntarydisclosure programs (GRI, ISO 14.001, etc) Environmental Reports included in Annual Financial Reports Compliance with voluntary certification systems (ISO 14.001, OSHAS, EUREPGAP, Organic Production, etc) Membership and commitment to other voluntary standards or organizations(WBCSD, GRI, Global Compact) Membership to other organizations promoting sustainable development, responsible agriculture, etc         #01     #02     #03     #04

NAME OF APPLICANT Name* Date* Position/Title*

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