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ACTA Membership Application Form


Company
Trade Name:

Company ID:


Registered Office
Street:

Town:

ZIP:


Contact address (Fill in only if the contact address differs from the registered office address.)
Street:

Town:

ZIP:


Contact Person
Name:

Position:

Telephone:

Fax:

E-mail:

www:


Thank you for completing the application form.
Please print the application form and send to the Association registered office with the excerp from the Commercial Register dating back not more than three months enclosed.

   
     
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