Corresponding Membership Application Form

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European Federation of Corrugated Board Manufacturers
Application Form for FEFCO Corresponding Membership
Please complete, sign and return this form to Houriet Lefebvre at houriet.lefebvre@fefco.org
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Company ………………………………………………………………………………………………….
Brand ………………………………………………………………………………………….…………….
Activities ..………………..…………………………………………………………………………..……...
Address ……………………………………………………………………………………………………
City ……………………… Zip code: ……………………
Country …………….………………………
General Phone ………………………………………..…
General Fax ………………..….………….
General e-mail …………………………………………
Website …………………………...………
VAT Number ………………………………………………………………………………………………..
Contact Person
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
CEO/General Manager:
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
Technical Manager
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
Marketing Manager:
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
Sales Manager:
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
Other staff
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
Please specify below to whom we send information about FEFCO activities & events
Name & Surname ……………………………………………Title/Gender: .……………………………….
Function …………………………………………………… E-mail ..…….………………………………
Direct Phone: ……………………………………………… Mobile….………………..………………….
Please feel free to add as many positions as required
We confirm that as of today we wish to become a Corresponding Member of the European
Federation of Corrugated Board Manufacturers, located at 250 Avenue Louise, 1050 Brussels,
Belgium; and with the understanding that we will be asked to pay an annual membership fee of
3.000,00€.
Date: …………………….
Signature: …………………………………
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