Application for Club Class Membership

Application for Club Class Membership
Company Details
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodePhone Number
Sector*
Please let us know your sector below*
Turnover
Are you registered for VAT overseas (outside of the UK)?*

NoYes
What is your Overseas VAT number? (please include the country code)*
Are you registered for UK VAT?*

NoYes
Would you like your company to be registered for UK VAT?*

NoYes
VAT Number*
As you have informed us that you would like the company to be registered for UK VAT, you will be taken to the VAT questionnaire after you submit this form. Once the BLCC receives both forms a member of the team will reach out to discuss your membership and UK VAT. (Please note the VAT questionnaire is not an official registration, we will reach out to discuss your VAT needs before submitting any official documents).
Website
Link to your company LinkedIn
Main Contact
Full Name*

TitleFirst NameLast Name
Job Title*
Direct Line*

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

DutchEnglishFrenchOther
Other Relevant Contacts
Accounting: Same as main contact*

YesNo
Name*

First NameLast Name
Email Address*
example@example.com
Data Protection: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
CEO: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Marketing: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
UK Contact: Same as main contact

YesNo
Name*

First NameLast Name
Email*
example@example.com
Travel: Same as main contact

YesNo
Name*

First NameLast Name
Email*
example@example.com
Do you give permission for the Belgian Luxembourg Chamber of Commerce in GB to display your company logo on our website, including the homepage “meet our members” logo carousel.*

NoYes
Please upload your company logo below (If you have multiple colours or styles of your logo feel free to upload multiple versions). *

Cancelof
Membership Agreement
As an individual/corporate Club Member you have exclusive access to all our events, our business network, and our central London Club House:
- Co-working space with free Wi-Fi and free hot and cold beverages
- Meeting room for free or at discounted rates
If you have opted for the postbox facilities *:
Mail and visits will be handled according to instructions specified by the client and the client will be responsible for all resulting forwarding and service charges. This agreement only applies to the company above and those persons named in the agreement (see further) and the BLCC is not under any obligation to provide the service to any other company/person and is not responsible for any mail or calls received for any others.

Please note that the BLCC warrants that in the event of a change of its London address, you shall be notified 6 months in advance from the date of the new address being effective.

Please note: Membership fees and related services are for one year from date of invoice.
Please select your Membership.*

Individual Membership - 615 GBP + 195 GBP joining fee + VATIndividual Membership - 750 EUR + 235 EUR joining fee + VATCorporate Membership - 2450 GBP + VATCorporate Membership - 3000 EUR + VAT
* Optional - Postbox address for correspondence purposes at our London address.

615 GBP + VAT per year750 EUR + VAT per year
How would you like us to forward post?

The BLCC are entitled to open, scan and email correspondence to one of the main contacts as indicated aboveWe would like the BLCC to forward correspondence by post once a week to the address given below
Please provide the forwarding address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide address
Please select the preferred type of payment.*

Electronic bank transferGoCardlessDirect Debit/ Domiciliëring/ Prélèvement Automatique
If Direct Debit, please select payment frequency.

One-off lump sumQuarterlyMonthly
Did anyone recommend the BLCC to you? If so, please enter their name here:
If you have any comments or questions, please submit them here:
Please confirm your acceptance to the terms of our privacy policy - see footer of the BLCC website home page*

I agreeI do not agree
Should be Empty:

Application for Club Class Membership

Company Details

Main Contact

Other Relevant Contacts

Membership Agreement