Corporate Premium registration form - client

Become a member:
Corporate Premium Membership registration form

The undersigned organisation wishes to become a Corporate Premium Beltug member. This formula is for companies and public services using ICT only (not for the ICT sector).

Company information

all fields indicated with an * are mandatory
enter N.A. if not applicable

Organisation name *

Street & Nr *

Building, floor, department

ZIP *

City *

Country *

Company phone (enter N.A. if not applicable) *

Company email

Your email (for follow-up and confirmation purposes) *

VAT number (enter N.A. if not applicable) *

Website (enter N.A. if not applicable) *

Other information

Sector *

Sector code *

Nr of employees (Belgium) *

Nr of employees (Worldwide)

How I heard about Beltug (via?) *

Members (max 50.)

Member information

Gender *

First name *

Last name *

Job title *

Email *

Tel *

Mobile

Language *

Function category *

If other please specify:

Add member

Remarks

Information

We wish to join Beltug vzw/asbl. Our membership is valid until 1 January 2023:

Corporate Premium Membership, free of charge for you, as a gift by one of the Beltug partners (worth € 2 500,00 per year (excl. VAT)).

Hit ‘submit’ to confirm your subscription. Upon receipt of this form, you will receive an email confirmation. This membership is free of charge for you; you will not receive an invoice.

Many thanks for joining Beltug. Beltug respects your privacy. All personal data that you provide, whether via our website, forms or e-mail, will be treated with the highest confidentiality, and used only to keep you informed of our activities. Read our Privacy Policy for more information.

Cookie	Duration	Description
_wordpress_test_cookie, test_cookie	session	WordPress sets this cookie when you navigate to the login page. The cookie is used to check whether your web browser is set to allow, or reject cookies.
CONSENT	16 years 5 months 17 days 11 hours 11 minutes	The cookie is set by the GDPR Cookie Consent WordPress plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. When Consent has been given the cookie is used to store the user consent for the cookies in the category "Analytics”.
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
PHPSESSID	session	This cookie is native to PHP applications. The cookie is used to store and identify a users' unique session ID for the purpose of managing user session on the website. The cookie is a session cookies and is deleted when all the browser windows are closed.
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.
WordPress_clef_session, _wordpress_cleff_state	1 year	This WordPress cookie is necessary to use the administrator zone. (Only for administrators)
wp-settings-1, wp-settings-time-1	1 year	WordPress uses this cookie to customize your view of the admin interface, and possibly also the main site interface.

Cookie	Duration	Description
_ga	2 years	The _ga cookie, installed by Google Analytics, calculates visitor, session and campaign data and also keeps track of site usage for the site's analytics report.
_gat_gtag	1 minute	Set by Google to distinguish users.
_gid	1 day	Installed by Google Analytics, _gid cookie stores information on how visitors use a website, while also creating an analytics report of the website's performance. Some of the data that are collected include the number of visitors, their source, and the pages they visit.

Cookie	Duration	Description
IDE	1 year 24 days	Used by Google DoubleClick to register and report the website user’s actions after viewing or clicking one of the advertiser’s ads with the purpose of measuring the efficacy of an ad and to present targeted ads to the user.
VISITOR_INFO1_LIVE	5 months 27 days	A cookie that YouTube sets that measures your bandwidth to determine whether you get the new player interface or the old.
YSC	session	Registers a unique ID to keep statistics of what videos from YouTube the user has seen. This cookie expires when you close your browser.
yt-remote-connected-devices	never	Stores the user’s video player preferences using embedded YouTube video.
yt-remote-device-id	never	Stores the user’s video player preferences using embedded YouTube video.

Become a member: Corporate Premium Membership registration form

Become a member:
Corporate Premium Membership registration form