Application for Freemium Membership

Application for Freemium Membership
Please specify why you wish to become a Freemium member of the BLCC*
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
VAT Number
Website
Link to 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.*

DutchEnglishFrench
Do you give permission for the Belgian Luxembourg Chamber of Commerce in GB to display the company logo on any relevant marketing materials?*

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

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Membership Agreement
Available for Belgian and Luxembourg companies or expats only. As a Freemium Member your company is entitled to a one-off visit to your company by our specialist OR a one-off appointment with our specialist in the UK. You are also invited to selected network events organised by the BLCC and you will receive our free, quarterly, electronic newsletter.
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*

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