2023 Association Membership Application Form 1.500

Gold Membership Registration/Renewal Form
Venue Details
Business Name/Company Name*
Tax Identification Number (TIN)*
Venue Name*
Address*

Address

Address 2

CityProvince/State

Country
Contact Person*
Phone*

Phone Area CodePhone Number
Email*
example@example.com
By providing your email address, you will automatically subscribe to receive most of our communications via email.
Activity license*

YesNo
License type*
Issuing Authority*
Membership Category*

Gold Member 2.000€ Validity of 1 year
My Products
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Gold Membership €2,000.00
Validity of 1 year

Total €0.00
International Nightlife Association (INA) is an Affiliate Member of the World Tourism Organization (UNWTO)
I commit to complying with the local, regional, and national laws, regulations, and rules of the territory where the affiliated venue is located.*

YesNo
I affirm that both the furniture and decorative materials in the venue are fire-resistant or have been treated with fire-resistant varnish.*

YesNo
I authorize the International Nightlife Association (INA) to disclose the commercial information and logo of the venue to third parties for promotional purposes.*

YesNo
E-Signature: [Your Name]*
Date*

MonthDayYear
After submitting your application, INA will get in touch with you. INA reserves the right to accept members up to 72 hours after the submission of the application. If the membership is rejected, the payment made will be refunded.
Select Payment Method*

Bank transfer to the bank account: INTERNATIONAL NIGHTLIFE ASSOCIATION ES89 0182 6317 1102 0006 6344Debit or Credit Card / Paypal

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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Gold Membership Registration/Renewal Form

Venue Details

International Nightlife Association (INA) is an Affiliate Member of the World Tourism Organization (UNWTO)