Beltug

Enterprise Membership Registration Form


The undersigned organisation wishes to become an Enterprise 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)
 



Billing information:

Please fill in your address only when it's different from the address provided above.




Other information:




Register your first 6 contacts below; Anick will email you for your additional contacts.


Member 1:


       


   



Member 2:


       


   



Member 3:


       


   



Member 4:


       


   



Member 5:


       


   



Member 6:


       


   



Remarks:


 

I wish to sign up for an Enterprise Membership with Beltug vzw/asbl. Our membership will be valid until January 1st, 2022:

Enterprise Membership (7 people or more from your company enjoy the advantages of a membership* - this formula applies to companies and public services using ICT only!) : € 2500 (ex VAT)
*Please note that we must limit the number of members from your company attending any single Beltug event to 5 participants. Thank you for your understanding.

Click "submit" to transmit your affiliation.
A written confirmation and an invoice will be sent to you upon receipt of this form.

Without a written cancellation of your membership program, it will be automatically renewed.

Thank you for registering.

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