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International Business Association application form for individuals

To the head of the Board of Directors

Public Organization

«International Business Association»

G. Kucheruk

Application

for the public organization membership

«International Business Association»

(for individuals)

(FULL NAME)*

conveys the will to be a member of the public organization «International Business Association».

Supports the goal and tasks of the public organization «International Business Association». Undertakes an obligation to comply with the requirements of the company’s Regulations.

I agree to pay a one-time admission fee and annual membership fee according to «Regulations of membership fees PO «IBA»».

Personal information:

Field of activity*

Mailing address*

Phone number*

Fax

E-mail*

Workplace (full title)*

Position*

Contact details (address, telephone number, E-mail, website)*

Additional Information:

Viber:

Facebook:

Date:*

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