EPBA

Application Form

Company information

Company's Name(*)
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Address(*)
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Phone(*)
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Mobile(*)
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Fax(*)
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Email(*)
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Website(*)
Please type your company web site.

Company’s activity ( max. 50 words which will appear on EPBA website)*(*)
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Year Business Started(*)
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EPBA

Application Form

Company characteristics

1. Size (Number of Employees)(*)
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2. Annual range of revenue (EGP)(*)
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Your major partners in Poland (*)
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What is your trade experience with EU/ North Africa & Middle East countries? (*)
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Type of services required from EPBA (please mark):(*)
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Requirements from Polish market (*)
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From where did you know about the EPBA?(*)
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EPBA

Application Form

Member information

Name of Member(*)
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Title (CEO, Chairperson, Managing Director,…etc.)(*)
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Nationality(*)
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Birth date (*)
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Business email(*)
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Mobile number(*)
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Name of personal assistant(*)
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Email of personal assistant(*)
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EPBA

Application Form

Membership fees

Please choose your membership:

  • Individual membership 2000 LE + 3000 LE entrance fee
  • Corporate membership 4000 LE+ 3000 LE entrance fee

The fee is to be paid in cash or cheque once the applicant is accepted by the decision of Board Members.

(*)
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