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1. Your personal details
Family Name :  *
First Name :  *
Title :  *
Job Title/Function :  *
Organization :  *
Type of organization :  *
Street : *
City :  *
ZIP :  *
Country :  *
Phone number :  *
Fax number :  *
E-mail address :  *
Website :  *
2. Tick as appropriate
200 EUR (individual membership)
450 EUR (corporate membership for 1-3 staff membres)
620 EUR (corporate membership for 4-7 staff membres)
900 EUR (corporate membership for >8 staff membres)
Free trial membership until end of 2014
For more info, read Benefits and conditions of membership.
3. Is your organisation registered for VAT ?
Yes
No
4. Please describe your innovation support activities



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