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Association Membership Form (Laboratory)
Please fill out the form below:
I. Company General Information
Company
Name
(required)
Address
Foundation Date
Phone Number
Fax Number
E-mail
(valid email required)
Website
President, Managing Director or Equivalent
Name
Phone Number
Fax Number
E-mail
(valid email required)
Company Structure/Organization
Organizational Form of the Company
Number of Employees
Company Registration Number
Subsidiary of / Independent
II. Membership Type
Number of persons involved in the testing cosmetics activities
Does your company have testing cosmetic activities for at least 3 years?
Yes
No
Under which standards is your lab working? ISO 17025, GLP, GMP, FDA standards Others?
What type of tests do you perform regarding cosmetics?
Are you present in any activities, groups, committees at National, European and
International level regarding cosmetics? Which?
III. Other Activities
What other services do you provide? Please indicate all that apply:
Distribution / Marketing
Yes
No
Regulatory Consulting
Yes
No
Advisory Services on GMP EN/ISO 22716
Yes
No
Clinical Studies Services
Yes
No
Responsible Person
Yes
No
Safety Assessment
Yes
No
Others (please specify)
IV. Other information
How did you learn about ERPA?
What are your reasons for wanting to join ERPA?
What do you wish to achieve through your participation in ERPA?
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