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Women In Business Club Membership Application

WIBC Annual Membership €10 due by AGM in January Payable by PayPal or Credit Card or Cash at WIBC meetings
First Name
Last Name
Company / Trading Name
NIE / CIF
Official Address
Telephone
Mobile
website
Email
Business Description
Areas / Towns Covered
Expertise
Comments / 2nd Business details
Membership Number: *
Membership Receipt Number *
Membership Receipt Date: *	[dd-MMM-yyyy]
N.B. - All details are for administration purposes only and will not be displayed on the WIBC website.
WIBC DISCLAMER: WIBC (ASOCIACION DE MUJERES EMPRENDEDORAS) TAKE NO RESPONSIBILITY FOR ENSURING THE REGISTRATION OF ANY BUSINESS FOR THE PURPOSES OF TRADING, TAX OR SOCIAL SECURITY LIABILITIES
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