MEMBER CONFIRMATION

Self-employed (45 €+IVA/year)

Companies (95 €+IVA/year)

PERSONAL DETAILS

Name of Company Representative

Surname

DNI/NIE

Male

Female

Date of Birth

Nationality

Email address

Telephone nº

COMPANY / SELF-EMPLOYED INFORMATION

Company name

CIF/NIF

Sector

Profession

Telephone nº

Email address

Web

Dirección completa

Municipality

Province

SUBSCRIPTION PAYMENT DETAILS

Complete IBAN code

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Responsibility of: CÁMARA OFICIAL DE COMERCIO INDUSTRIA Y NAVEGACIÓN DE MALLORCA CIF Q-0773001C and registered address: Estudi General, 7, 07001 Palma, MALLORCA, Illes Balears, SPAIN

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