Membership form - Holland House Chile

Type of membership*

Name

First name Last name

Company name*

Company Adress*

Street Address City ZIP / Postal Code Country

Sex*

Job title*

Company name*

Email adress*

Email adress Confirm email adress

Office phone

Mobile phone*

Business sector*

Description of business activities*

Business size in Chile*

Business size in the Netherlands*

Business size Global*

Year of incorporation in Chile*

How did you hear about us?*

What are the main reasons you would like to join Holland House Chile?*

What (potential) services are you interested in?*

RUT*

For Chilean companies only

Giro*

For Chilean companies only

Membership*

Yes, I agree

With this application, I agree to the annual membership of Holland House Chile and its Articles of Association.

Membership application form