Name of Company

Name & Surname of Representative

Company Registration Number

Year of Company Incorporation

Company Activity / Sector

Address & Area Code

PO Box & Area Code

Telephone Number

Mobile Number

Email Address (of the representative)

Company Website

Terms & Conditions Terms & Conditions I hereby declare our interest for membership to the Association. I understand that our eventual application shall be considered provided that we fulfil all commitments, in accordance to the Memorandum & Articles of Association.

Personal & Company Data Personal & Company Data I hereby authorise the CCCI to use my personal data, as well as our company data for the purposes of the aforementioned Business Association but also for informing us about other activities organised by the CCCI and/or the Business Associations operating under its auspices. I also consent to the uploading of my personal and our company data, as well as photographs on websites and/or social media.