Apply for Membership

1 Organization's information

Entity's corporate name

Company registry ID

Main address for correspondence

Preferred address for billing

2 Main contact information

Name

Email-address

Numéro de téléphone

3 Membership Level

Regular member – 3,000 € annual fees – free of charge for academics and startups

Active member – 10,000 € annual fees

Executive member – 30,000 € annual fees – to be validated by members of the board.

4 Authorization for image and logo use

As a member, I authorize the use of my company’s logo and name in all of the WIZE Alliance’s communications and marketing materials.

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5 Compliance with WIZE Alliance Internal rules

I have read the internal rules of WIZE Alliance association and agree to comply with the requirements contained there in. Télécharger le règlement intérieur (PDF, 762.7 kB)

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