CENTRAL OFFICE FOR BUSINESS COMMUNICATION AND MARKETING

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	Apply For Membership

Application Form for EEIG

(If you wish to send form via fax please download printable version)

Name

ZIP code/ Place/ Street/ No

Phone

Fax

e-mail

web

Year of foundation

Sector

Services

Commerce

Production

Printed name

Owner Managing director Chief executive

Companies' register number/ date

Tax number

Number of employees

List of our main references which can be contacted: (complete at least one)

(a)

First name and family name
Company / place
Function
Telephone and e-mail

(b)

First name and family name
Company / place
Function
Telephone and e-mail

(c)

First name and family name
Company / place
Function
Telephone and e-mail

Enter the number from the picture :

I accept that the Board of Directors of the European Economic Chamber can decide on
admission or can decline application without any explanations.