Join now by filling in the application form

We, the undersigned, hereby apply for the membership to the Belgium-Japan Association & Chamber of Commerce (BJA) in the following category

Please complete the following form:

Membership       
Company Name:  
Company Description:  
Economical Sector(s):














 
Address:  
Postal Code:  
City:  
Country:  
Telephone:  
Fax:  
E-Mail:  
Web Site:  
    
Title:     
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