Spcc Corporate Membership Application Form

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

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SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

I/we being authorised to represent the company/entity named below, hereby apply for the CORPORATE membership in the Scandinavian-Polish Chamber of Commerce and declare that the company/entity we represent shall be bound by its rules and regulations (Statutes) which are available at www.spcc.pl . The company/entity I/we represent shall be obliged to pay annual dues for the duration of the membership.

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

COMPANY/ENTITY NAME…………………….……..………………………………………………………...

COMPANY’S NIP NUMBER……………………...……………………………………………………………...

ADDRESS…………………………………………………………………………………………………………..

PHONE……….…………FAX……….………….. MAIL ……….……………….. WWW ……….….………..

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SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

National Section / presence at the National Events:

Please mark only one section:

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SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

Name/ Names of persons representing the Company …………………………………………………..………

Citizenship………………………………………………………..Position…………………………………..……

E-mail …………………………………………………………….Mobile ………………………………………..

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

I/we representing the company/entity named above agree to the processing of my/our personal data included in this application by the Scandinavian-Polish Chamber of Commerce with its seat in Warsaw for:

marketing purposes of the Scandinavian-Polish Chamber of Commerce’s activities: distributing invitations to SPCC events, SPCC newsletter, etc.
Obligatory for SPCC contact person

transferring of my/our contact data (name, company e-mail and phone number) to the other SPCC members for the marketing purposes of these members (receiving offers from other SPCC Members).

Optional for SPCC contact person

I/we confirm that I/we have been informed that:

·  the Scandinavian-Polish Chamber of Commerce with its seat in Warsaw at ul. Wiśniowa 40B lok. 9 is the administrator of my personal data,

·  my personal data shall be processed for the purposes listed above and depending on my consent given above, shall be transferred to the other SPCC members or shall not be transferred,

·  I am entitled to have an access to my personal data and to correct them and providing my personal data is voluntary.

…………………………….……………….

Signature/s of the person/s named above

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

BRANCH……………………………………………………………………………………………………………

COMPANY DESCRIPTION……………………………………………………………………………………...

……………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………….

HOW DID YOU FIND OUT ABOUT THE SPCC?

ANOTHER MEMBER COMPANY (WHICH ONE?):......

OTHER (please specify):......

......

NUMBER OF STAFF EMPLOYED IN POLAND …………………..…………………………………………

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SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

ANNUAL MEMBERSHIP DUES:

(Please, indicate your category)

/ Corporate Member (1-10 employees in Poland with the annual turnover below 3 mln PLN) / 1.600 PLN net
/ Corporate Member (companies located in Mazowiecki region having 11-100 employees in Poland and companies located outside Mazowiecki region having 11-100, and more than 100 employees) / 3.200 PLN net
/ Large Corporate Member (companies located in Mazowiecki region having more than 100 employees in Poland) / 5.300 PLN net

The Member agrees that the membership fees and other payments related to membership in SPCC shall be collected by the company Skandynawsko-Polskie Usługi Sp. z o.o. being a sole subsidiary of the SPCC.

Signature…..………………………………………………………Date…………………………………………..

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

OTHER SPCC CONTACT PERSONS:

Name: ………………………………………….

Position: ……………………………………….

E-mail: …………………………………………

Phone: ………………………………………….

National Section: ………………………………

Address, if different than Company address

……………………………………………………………………………………………………………………….

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

I/we representing the company/entity named above agree to the processing of my/our personal data included in this application by the Scandinavian-Polish Chamber of Commerce with its seat in Warsaw for:

marketing purposes of the Scandinavian-Polish Chamber of Commerce’s activities: distributing invitations to SPCC events, SPCC newsletter, etc.
Obligatory for SPCC contact person

transferring of my/our contact data (name, company e-mail and phone number) to the other SPCC members for the marketing purposes of these members (receiving offers from other SPCC Members).

Optional for SPCC contact person

I/we confirm that I/we have been informed that:

·  the Scandinavian-Polish Chamber of Commerce with its seat in Warsaw at ul. Wiśniowa 40B lok. 9 is the administrator of my personal data,

·  my personal data shall be processed for the purposes listed above and depending on my consent given above, shall be transferred to the other SPCC members or shall not be transferred,

·  I am entitled to have an access to my personal data and to correct them and providing my personal data is voluntary.

………………………………………….

Signature of the person named above

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

OTHER SPCC CONTACT PERSONS:

Name: ………………………………………….

Position: ……………………………………….

E-mail: …………………………………………

Phone: ………………………………………….

National Section: ………………………………

Address, if different than Company address

……………………………………………………………………………………………………………………….

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937

SPCC CORPORATE MEMBERSHIP APPLICATION FORM

I/we representing the company/entity named above agree to the processing of my/our personal data included in this application by the Scandinavian-Polish Chamber of Commerce with its seat in Warsaw for:

marketing purposes of the Scandinavian-Polish Chamber of Commerce’s activities: distributing invitations to SPCC events, SPCC newsletter, etc.
Obligatory for SPCC contact person

transferring of my/our contact data (name, company e-mail and phone number) to the other SPCC members for the marketing purposes of these members (receiving offers from other SPCC Members).

Optional for SPCC contact person

I/we confirm that I/we have been informed that:

·  the Scandinavian-Polish Chamber of Commerce with its seat in Warsaw at ul. Wiśniowa 40B lok. 9 is the administrator of my personal data,

·  my personal data shall be processed for the purposes listed above and depending on my consent given above, shall be transferred to the other SPCC members or shall not be transferred,

·  I am entitled to have an access to my personal data and to correct them and providing my personal data is voluntary.

………………………………………….

Signature of the person named above

1

SCANDINAVIAN - POLISH CHAMBER OF COMMERCE

02-520 Warszawa, ul. Wiśniowa 40B lok. 9

tel. +48 22 849 74 14; fax +48 22 646 49 30, e-mail: , www.spcc.pl

Bank Account: Nordea Bank Polska S.A., 00-854 Warszawa, Al. Jana Pawła II nr 25

37144011010000000001409937