2025 Association Membership Application Form 2.000

Gold Membership Registration 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.
YesNo
License type*
Issuing Authority*
Gold Membership
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Gold Membership €1,000.00
Validity of 1 year

Gold Membership€2,000.00
Validity of 2 years

Total €0.00
1.000€ 1 Year (DISCOUNT 50% SILB APPLIED)1.500€ 2 Years (DISCOUNT 50% SILB APPLIED)
YesNo
YesNo
YesNo
To make the payment for the Gold Membership via bank transfer, please send the amount to the following account:

Destinatario: INTERNATIONAL NIGHTLIFE ASSOCIATION

IBAN: ES89 0182 6317 1102 0006 6344

SWIFT: BBVAESMM BIC: BBVAESMMXXX
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.
Should be Empty:

Gold Membership Registration Form