Membership Template

BIC CODE GKCCBEBB

BELFIUS BANK BRUSSELS

Last Name + Name
E-mail
Country
City
Telephone Number
Company Number (*)
Type of Member
	As such, I declare that I recognize the purpose of the association, and that I have accepted its articles of association as well as the internal regulations which are made available on request to a member of the Board of Directors. I authorize Euratina asbl to use my personal data under the conditions set out.

Tél. : +32 479 322 837

E-mail

EuratinaP@mail.com