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 2024:

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
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Cookie	Duration	Description
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Cookie	Duration	Description
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YSC	to be removed by you	Registers a unique ID to keep statistics of what videos from YouTube the user has seen. This cookie expires when you close your browser.
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Become a member: Corporate Premium Membership registration form

Become a member:
Corporate Premium Membership registration form