Membership form 2016 en

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APPLICATION FORM № ......... /2016 ............................................................................................................................................................................................................... Designation of the company or full name for individual person ................................................................................../ .......................................................................................................................... Page | 1 . Bulstat / VAT for companies Tax/fiscal code and passport data for individual person ............................................................................................................................................................................................................... Registration number of the company in the Court ............................................................................................................................................................................................................... Address for companies / residential address for individual person ....................................................................................../....................................................................................................................... . Tel no. Fax no. ....................................................................................../....................................................................................................................... . Website Email ............................................................................................................................................................................................................... Name of the legal representative .................................................................................... ……………./......................................................................................................... Name of contact person Mobile phone Dear Sirs, I hereby ask you for being admitted as member/associate of the Italian Chamber of Commerce in Bulgaria, registered with n. 5035/2001 according to the registration of the Civil Court of Sofia. I declare to be aware of and accept the rules for the acquisition of such status and I have read the statute in force, and abide by its rules and regulations. I agree to pay, within 7 days from the application, membership fee determined by the governing bodies for the current year. I guarantee that I never had criminal conviction and not being aware of the existence of ongoing proceedings for the application of criminal convictions against me. I am aware that my application form is subject to the unquestionable decision of the Boards of the governing bodies.

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Membership Annual Fee (please tick your category): Individuals / Partnerships / Private limited company (Srl) □ BGN 800 (€ 412) Public limited company (S.p.A.) / Associations/Consortium/ Italian Chambers of Commerce □ BGN 1500 (€ 773) Supporting Members * □ BGN 5000 (€ 2.550) *starting from

Banking details BNP – PARIBAS SA, SOFIA BRANCH (BULGARIA) Founded in 2003 and recognized by Italian Government in Law no.518/70 Member of the Association of Italian Chambers of Commerce Abroad Bul. Knyaghinya Maria Luisa, 2,Business Center TZUM, fl.5 – Sofia 1000 – Bulgaria Te l : + 3 5 9 2 8 4 6 3 2 8 0 / 1 – Fa x : + 3 5 9 2 9 4 4 0 8 6 9 i n f o @ c a m c o m i t . b g w w w. ca m co m i t . b g

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Please return this form, duly fulfilled in and signed, by fax No: +359(2) 944 08 69 or by email: info@camcomit.bg


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Membership form 2016 en by Camera di Commercio Italiana in Bulgaria - Issuu