Application for Patron Membership

Application for Patron Membership
Date of Application*

DayMonthYear
Company Name*
Address*

Street Address

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CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodePhone Number
Sector*

AccountingArchitecture/ DesignBankingConstructionFinanceFood and beveragesGovernmentalHealth careICTIndustry/ ProductionLawLogistics and transportMarketing/ Communication/ PRReal estateRecruitmentResearch and developmentRetailTradeOther
Turnover
Are you registered for VAT?*

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VAT Number
Website
Please indicate which Social Media platforms you and/or your company uses.*

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Main Contact
Full Name*

TitleFirst NameLast Name
Job Title*
Direct Line

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Email Address*
Please indicate your main language.*

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Accounting Department
Email Address*
Membership Agreement
As a Patron Member you can enjoy all the services and facilities we provide to our Business and Club Class members, including exclusive access to all our business services, our business network and our events.

We provide you with four Club Class membership cards and promote your business by:
- Putting your company logo on all the emails sent out by the BLCC team
- Putting your company logo on each page of the BLCC website
- Putting your company logo on a banner at our events
- Inviting you to exclusive Patron Members-only events with personal and direct access to high ranking professionals, business people, diplomats, academics and politicians
- Giving you priority for sponsoring and booking events
- Actively using your company as a preferred BLCC supplier for BLCC events and services
- Actively recommending your business to members and non-members
- Giving you a prestigious presence in the Belux community in the UK
Patron membership is ideal for larger companies who want to enjoy both Business and Club Class services, and who seek high visibility in the Anglo-Belux business community through our communication channels and activities.

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

Patron Membership only - 3100 GBP + VATPatron Membership only - 3720 EUR + VATPatron Membership incl. Corporate Club Class Membership for 4 people - 5550 GBP + VATPatron Membership incl. Corporate Club Class Membership for 4 people - 6720 EUR + VAT
Please select the preferred type of payment.*

Electronic bank transferGoCardlessDirect Debit/ Domiciliëring/ Prélèvement Automatique
If Direct Debit, please select payment frequency.

One-off lump sumQuarterlyMonthly
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Application for Patron Membership

Main Contact

Accounting Department

Membership Agreement