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Membership application form

Suntem deschisi, iar comunicarea cu partenerii nostrii este foarte transparenta. Vrem sa raspundem competent fiecarei cereri, si pentru ca fiecare client este special, CCRI pune la dispozitie formularul electronic de contact
COMPANY DATA
Full Name :*
Scope of activity :
Registered Address :*
Mailing Address : (if different from above)
Phone no #1 :*
Phone no #2 :
Fax no #1 :
 Fax no #2 :
Email :*
 Website :
Reg.Com.No. :
 Fiscal Code :
Bank :
 Account No. :
REPRESENTATIVE OF THE COMPANY
Full Name :*
Position :
Direct phone :
Direct fax :
Mobile phone :
Email :*
ADDITIONAL INFORMATION
Links with Ireland :
Specific interests with the CCRI :
Any other relevant information :
Security Code :*
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Chamber of Commerce & Industry Romania - Ireland
Address: No. 2-6 Virgil Madgearu Street, 3rd floor, sector 1, Bucharest
Phone/fax: +4 021 232.90.12; 232.90.88 		2Fresh