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JOIN SMES-EUROPA
NETWORK 2004

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ballred.gif (900 octets)     I would like to belong to the SMES-EUROPA   as     Individual    member
          and I pay the annual   INDIVIDUAL   membership fee of                                                       50  
ballred.gif (900 octets)     I would like to belong to the SMES-EUROPA   as     Institutional     member
          and I pay the annual   INSTITUTIONAL membership fee of                                                 200  
ballred.gif (900 octets)     I would like to support  SMES-EUROPA and I pay the annual membership fee of                     500  
ballred.gif (900 octets)     I would like to belong to the SMES-EUROPA   as     Adherent   member 
ballred.gif (900 octets)     I would like - about SMES-EUROPA projects & initiatives - to be informed
ballred.gif (900 octets)     I would like to be informed of   SMES-EUROPA next 8th Seminar  PRAGUE 2004
Registration N°
  for secretary
First Name:
Family Name:
Institution:
Position:
Address:
City: State:
Zip Code: Country:
Telephone:   Fax:
Mobile:   Email:
METHOD OF PAYMENT of Membership fee
NB.: All payment will be executed only in Euros
by BANK TRANSFER
from
 to SMES-EUROPA :
Bank account : 001-3629563-93
SWIFT code : GEBABEBB
FORTIS Banque, Agence Schuman
Rond-Point Schuman, 10 / B-1040 Brussels
Date:

Sign: 

 



SECRETARIAT OF SMES-EUROPA

Place A. Leemans, 3   B-1050 Brussels
                              phone & fax +32.2.5385887    e-mail: smeseu@smes-europa.org