uk_joinus

I would like to belong to the SMES-EUROPA as Individual member and I pay the annual INDIVIDUAL membership fee of 50 €
I would like to belong to the SMES-EUROPA as Institutional member and I pay the annual INSTITUTIONAL membership fee of 200 €
I would like to support SMES-EUROPA and I pay the annual membership fee of 500 €
I would like to belong to the SMES-EUROPA as Adherent member
I would like - about SMES-EUROPA projects & initiatives - to be informed
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	Account Name: Account Number: SWIFT code: Bank: Agency:	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

	JOIN SMES-EUROPA NETWORK 2004