Application for Associated Membership

Application for Associated Membership
Date of Application*

DayMonthYear
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Format: (000) 000-0000.
Sector*

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

YesNo
Associated Membership is for selected suppliers who can enjoy exclusive access to all our business services, our business network and our events.

Additionally, we promote your business by:
- Putting your company logo on each page of the BLCC website
- Actively using your company as a preferred BLCC supplier for BLCC events and services
- Actively recommending your business to members and non-members
- Preferred supplier status
- Priority status in our newsletter and social media channels
Please note: Membership fees are for one year from date of invoice.

Membership Fee is 1150 GBP + 195 GBP joining fee + VAT /

Membership Fee is 1380 EUR + 235 EUR joining fee + VAT
VAT Number
Website
Please indicate which Social Media platforms you and/or your company uses.*

FacebookLinkedInTwitterYouTubeInstagramNoneOther
Main Contact
Full Name*

TitleFirst NameLast Name
Job Title*
Direct Line
Format: (000) 000-0000.
Email Address*
example@example.com
Please indicate your main language*

DutchEnglishFrench
Accounting Department
Email Address*
example@example.com
Membership Agreement
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
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*

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Application for Associated Membership

Main Contact

Accounting Department

Membership Agreement