Membership application form of the Belgian-Luxembourg Chamber of Commerce in Russia

Our Mission is to Act and Succeed together!

Please complete this Application Form / Пожалуйста заполните данную анкету-заявление
Date of Application*

DayMonthYear
Contact Details:
Name*

TitleFirst NameLast Name
Job Title*
Direct Line*

Country CodePhone Number
Mobile Number

Country CodePhone Number
Email Address*
example@example.com
Please indicate your main language:*

DutchEnglishFrenchRussian
Company Details:
Company Name*
VAT Number
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Type a question*

AccountingArchitecture/ DesignBankingConstructionFinanceFood and beveragesGovernmentalHealth careICTIndustry/ ProductionLawLogistics and transportMarketing/ Communication/ PRReal estateRecruitmentResearch and developmentRetailTradeOther
Website
Please select your Membership Category for 12 months *
The category is determined according to the size and turnover of the company. As a Full Member you have exclusive access to all our events, our business network, and business trade delegations and missions. Please note: Membership fees are for one year (12 months) from date of invoice.
Accounting Department Email*
example@example.com
Did anyone recommend our Chamber to you?
How did you learn about the Belgian-Luxembourg Chamber of Commerce in Russia (for Russia and Belarus)?
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