G.O.L.D. User Association

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Member registration request

Registration form
“to preserve the user’s interests”

Registration-Number: Automatically assigned

Company:
Represented by:			:

desires to become a member of the G.O.L.D. User Association

Membership:

	F (Full membership, € 2500/€ 1000* per year)
	A (Associate membership, € 5000 per year)

Address:			Postal code:
Country:
Telephone:
Fax:
E-mail:

We acknowledge herewith that a membership will always be for a calendar year.
The membership fee will paid within 10 working days upon receipt of the invoice.
The membership can be terminated by a written notice prior to one month before the end of a calendar year.

* depending on your turnover as described in the Charter

Date:	- - dd-mm-yyyy
Your name: