Page 64 - ITA_Journal_3-2019

ITA 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 ve members and agrees to pay the annual subscription of US$ 293; 1 250 (EU VAT exempt) or £ 220.
I / We agree on use of personal data as well as company data and logo particularly for registration on ITA website as well as for information purpose (revocable reserved).
International Tube Association
Company Name:
Address:
Tel: Fax:
Email:
Applicant 1 – Payee for Group
EU VAT No. (if applicable): Website:
Family Name Job Title Email address Tel.
Applicant 2
Family Name Job Title Email address Tel.
Applicant 3
Family Name
Job Title
Email address
Tel.
First Name
First Name
First Name
Applicant 4
Family Name Job Title Email address Tel.
Applicant 5
Family Name Job Title Email address Tel.
Authorised Signature
Name
Brief description of company production/services:
Additional Information – Person responsible for marketing and PR (if not shown above)
Name Job Title Email Tel.
If any applicant is located at a different address to above, please advise on a separate sheet.
Please return form to: .
International Tube Association
Tel.: +49 211 947-5650 . Fax: +49 211 947-3938 . info@itatube.org . www.itatube.org
Industry partner to major tube and pipe exhibitions:
Heinz-Ingenstau-Str. 9
.
40474 Düsseldorf
.
Germany
First Name
First Name
Date
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