APPLICATION FORM № ......... /2017 ............................................................................................................................................................................................................... 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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Please return this form, duly fulfilled in and signed, by fax No: +359(2) 944 08 69 or by email: info@camcomit.bg
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) IBAN currency EUR: BG27 BNPA 9440 14 200519 10 IBAN currency BGN: BG45 BNPA 9440 10 200519 10 SWIFT BIC: BNPABGSX
Bul. Knyaghinya Maria Luisa, 2, Business Center TZUM, fl.5 – Sofia 1000 – Bulgaria Tel: +359 2 8463280/1–Fax: +359 2 9440869- info@camcomit.bg
www.camcomit.bg
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Founded in 2003 and recognized by Italian Government in Law no.518/70 Member of the Association of Italian Chambers of Commerce Abroad