Page 61 - ITAtube Journal 1 2023
P. 61
ITA
International Tube Association
Corporate Membership Application Form
The Sole Worldwide Acting Association of Tube & Pipe Engineers
The following company applies for a Corporate Membership in International Tube Association for upto five members and agrees to pay the annual subscription of € 250 (EU VAT exempt).
I / We agree on use of personal data as well as company data and logo particularly for registra- tion on ITA website as well as for information purpose (revocable reserved).
Company Name:
Address:
Tel: Fax:
Email:
EU VAT No. (if applicable): Website:
Applicant 1 – Payee for Group
Job Title
Email address
Applicant 4
Family Name First Name
Family Name First Name
Job Title
Tel.
Applicant 2
Email address
Tel.
Applicant 5
Family Name First Name
Family Name First Name
Job Title
Job Title
Email address
Email address
Tel.
Tel.
Applicant 3
Family Name First Name
Job Title
Email address
Tel.
Additional Information – Person responsible for mar
Name
Authorised Signature
Name Date
Brief description of company production/services:
keting and PR (if not shown above)
Job Title
Email
If any applicant is located at a different address to above, please advise on a separate sheet.
Tel.
Please return form to: .
International Tube Association
Tel.: +49 211 947-5650 . Fax: +49 211 947-3938 . info@itatube.org . www.itatube.org
Heinz-Ingenstau-Str. 9
.
40474 Düsseldorf
.
Germany
Industry partner to major tube and pipe exhibitions:
