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Membership form Member Actif

02/02/2024 par POULET Thibault - WE DO IT BETTER

Company *

Please provide a valid last name.

Address *

Veuillez fournir une adresse valide.

Zip code *

Veuillez fournir un code postal valide.

City *

Veuillez fournir une ville valide.

Country *

Veuillez fournir un pays valide.

VAT number *

Veuillez fournir un numéro de TVA valide.

Tax number *

Veuillez fournir un numéro de SIRET valide.

Web Site *

Veuillez fournir une url valide.

Document: you can insert here your company presentation brochure

Veuillez fournir un plaquette valide.

Identity and details of the "GALIA correspondent"

The "GALIA correspondent" is the main contact of GALIA. He/she receives notices to the General Assembly, invoices (Except if specified) and information concerning the activities and work of GALIA.

Last name *

Please provide a valid last name.

First name *

Please provide a valid first name.

Service *

Veuillez fournir un service valide.

Job title *

Veuillez fournir une fonction valide.

Phone Number *

Veuillez fournir un téléphone valide.

Mobile phone *

Veuillez fournir un téléphone valide.

Email *

Please provide a valid email address.

Membership motivation *

Please provide a valid last name.

Company activity *

Manufacturer of products or raw materials for the automotive industry.

Carrier

Logistics service provider

Veuillez sélectionner une activité.

Year of last completed financial year *

Veuillez fournir une année valide.

Global turnover *

Veuillez fournir un CA valide.

Automotive Turnover *

Veuillez fournir un CA valide.

Billing details

Billing address *

Veuillez fournir une adresse valide.

Zip code *

Veuillez fournir un code postal valide.

City *

Veuillez fournir une ville valide.

Country *

Veuillez fournir un pays valide.

Last name *

Please provide a valid last name.

First name *

Please provide a valid first name.

Email for sending the invoice *

Please provide a valid email address.

All membership applications are subject to the approval of the Steering Board.
For any new membership, ENTRY FEES corresponding to one annual fee is required.
The annual membership fee for ACTIVE Members is established based on the company’s “automotive” turnover.;
The subscription is renewed every year by tacit agreement, except in case of registered delivery cancellation letter before November 1st.
If GALIA receives cancellation after November 1st, complete membership subscription must be paid for the coming year (except for Associate Member A).

By ticking this box, I acknowledge having read and accepted GALIA’s membership conditions.

Merci de valider les CGA.