Belgium-Japan Association & Chamber of Commerce

入会お申し込み

入会ご希望の方は、下記のフォームに必要事項を記入し、送信してください。


Membership (for more info click on the categorie)	Sponsor members (2 700 EUR) Corporate members (800 EUR) Associate members (600 EUR) Individual (70 EUR) Student (30 EUR) Couple (100 EUR)
Company Name:
Company Description:
Economical Sector(s):	Other Associations Audio Cars and Related Industr. Hotel Banks, Insurance and Securities Law Machinery Industries Mass Communication Public Organisations Restaurant Services Tourism Trading Firms Transport Warehouse
Address:
Postal Code:
City:
Country:
Telephone:
Fax:
E-Mail:
Web Site:


Title:	Mr. Mrs. Ms. Mr. & Mrs.
Title:
First Name:
Name:
Function:
Direct Telephone:¹
Direct Fax:¹
Direct E-mail:¹
Direct Address:¹
Direct Postal Code:¹
Direct City:¹
	¹ only if different from Company Address

latest update: 08.09.10