Application for Business Class Membership

Application for Business Class Membership
Date of Application*

DayMonthYear
Company Details
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country codePhone Number
Sector*
Please let us know your sector below*
Turnover
Are you registered for VAT overseas (outside of the UK)?*

NoYes
What is your Overseas VAT number? (please include the country code)*
Are you registered for UK VAT?*

NoYes
VAT Number*
Would you like your company to be registered for UK VAT?*

NoYes
As you have informed us that you would like the company to be registered for UK VAT, you will be taken to the VAT questionnaire after you submit this form. Once the BLCC receives both forms a member of the team will reach out to discuss your membership and UK VAT. (Please note the VAT questionnaire is not an official registration, we will reach out to discuss your VAT needs before submitting any official documents).
Website
Please indicate which Social Media platforms you and/or your company use*

FacebookLinkedInTwitterYouTubeInstagramNoneOther
Link to your company LinkedIn
Main Contact
Full Name*

TitleFirst NameLast Name
Job Title*
Direct Line

Country CodePhone Number
Email Address*
example@example.com
Please indicate your main language.*

DutchEnglishFrenchOther
Other Relevant Contacts
Accounting: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Data Protection: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
CEO: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Marketing: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
UK Contact: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Travel: Same as main contact*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Do you give permission for the Belgian Luxembourg Chamber of Commerce in GB to display the company logo on our website, including the homepage “meet our members” logo carousel?*

NoYes
Please upload your company logo below (If you have multiple colours or styles of your logo feel free to upload multiple versions). *

Cancelof
Membership Agreement
As a Business Member your company has exclusive access to all our business services, and our business network and events at reduced rates. This corporate membership is ideal for companies which primarily use our business services and/or wish to attend events.

If you have opted for the postbox facilities *, this agreement also entitles a member to use the BLCC address at Westwood House, Annie Med Lane, South Cave HU15 2HG as his/her address for correspondence purposes but not as his/her registered office address.

Mail and visits will be handled according to instructions specified by the client and the client will be responsible for all resulting forwarding and service charges. This agreement only applies to the company above and the mail contact(s) named in the agreement (see further) and the BLCC is not under any obligation to provide the service to any other company/person and is not responsible for any mail or calls received for any others.

Please note that the BLCC warrants that in the event of a change of its Westwood House address, you shall be notified 6 months in advance from the date of the new address being effective

Please note: Membership fees and agreement are for one year from date of invoice.
Please select your Membership.*

Company up to 100 employees: 575 GBP + 195 GBP joining fee + VATCompany up to 100 employees: 690 EUR + 235 EUR joining fee + VATCompany with 100+ employees: 1150 GBP + 195 GBP joining fee + VATCompany with 100+ employees: 1380 EUR + 235 EUR joining fee + VAT
* Optional - Postbox address for correspondence purposes at Westwood House

£170 GBP + VAT per year€105 EUR + VAT per year
Contact Details of your first and second contact in case mail arrives or there is a visit by an inspector or member of the public who want to contact you:
Mail Contact 1

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Mobile Phone Number
Format: (000) 000-0000.
Mail Contact 2

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Mobile Phone Number
Format: (000) 000-0000.
How would you like us to forward post?

The BLCC are entitled to open, scan and email correspondence to one of the main contacts as indicated aboveWe would like the BLCC to forward correspondence by post once a week to the address given below
Please provide the forwarding address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide address
Please select the preferred type of payment.*

Electronic bank transferDirect Debit via GoCardless
If Direct Debit, please select payment frequency.

One-off lump sumQuarterlyMonthly
Did anyone recommend the BLCC to you? If so, please enter their name here:
If you have any comments or questions, please submit them here:
Please confirm your acceptance to the terms of our privacy policy - see footer of the BLCC website home page*

I agreeI do not agree
Should be Empty:

Application for Business Class Membership

Company Details

Main Contact

Other Relevant Contacts

Membership Agreement