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Name of company:

Type of member:

Ordinary Associate

Address of company:

PO Box:

City:

Country:

Phone:

Fax:

Factory Address:
(if applicable)

Business Sector:

If Other, enter Sector:

Business Subsector:

If Other, enter Subsector:

Company Representatives

Senior Executive First Name:

Senior Executive Last Name:

Primary Email:

Please enter a valid e-mail address. All login and password
information is sent to this address.

Secondary Email:

Liaison 1 First Name:

Liaison 1 Last Name:

Liaison 1 Email:

Liaison 2 First Name:

Liaison 2 Last Name:

Liaison 2 Email:

Company Representatives

No. of employees:

Subsidiary:

Public Company:

Private Company:

Local agents:

Foreign agents:

Products and services:

Brandnames:

Iso9000?:

If yes, enter year of certification:

Website URL:

http://

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below to save your profile

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Password: