Membership Checkout

Membership Level change

You have selected the PMI / PME membership level.

Cotisation: 600€

Instructions :
Cette catégorie permet à votre organisation d'avoir jusqu'à 2 représentants au sein de la communauté de la CCFL : un représentant principal et 1 représentant secondaire.
Veuillez remplir le formulaire d’adhésion ci-dessous.
Après soumission de votre candidature vous recevrez dans un délai de 2 à 4 semaines un courriel confirmant votre adhésion accompagnée d’une facture pour règlement de votre cotisation

The price for membership is $0.00 now.

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Account Information Already have an account? Log in here

Username *

Password *

Confirm Password *

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Email Address *

Confirm Email Address *

Full Name LEAVE THIS BLANK

More Information

Organization Information

Company Name *

Sigle

R.C.S Number *

Address of headquarters

Street *

Postal Code

City *

Country *

Phone 1 *

Phone 2

Email 1 *

Email 2

Email 3

LinkedIn account

Website

Activity area

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Number of employees

Turnover

Personal informations

Principal Representative

Last name *

First name *

Title *

Date of Birth *

H/F *

Country of nationality 1 *

Country of nationality 2

E-mail *

LinkedIn Account

Secondary representative

You can register a secondary representative at any time during your membership

If I wish to support the CCFL by adding an additional contribution to the usual contribution of my member level, I indicate the amount here.

* I confirm that all the information provided in the above form is true

* Je consens au traitement de mes données selon les termes et conditions conformes au RGPD

Would you like to create extra account(s)?

Number of Seats

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Card Number

Expiration Date

CVC

Discount Code

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