PERSONAL INFORMATION (please fill in the data as you wish to appear in the CCECRR members list) Name and surname Function Company Date of birth INFORMATION ON BILLING AND CORRESPONDENCE LEGAL PERSON (to be completed only in case of payments made by the company) Company (SA / SRL) Mailing address CUI/CIF Trade Register Cod IBAN Billing address Bank and branch Specific payment procedures payment only on the basis of the tax invoice issuing a purchase order prior to issuing the tax invoice PHYSICAL PERSON (to be completed only for individual payments) CNP Adresă de corespondenţă Nr şi serie act de identitate Adresă de facturare De unde aţi auzit despre ccecrr? Recomandarea unui membru CCECRR Conferinte/evenimente Recomandarea unui prieten Cautare pe internet Presa Alte surse INFORMATION ABOUT MEMBERSHIP PACKAGES Membership in the CCECRR is individual, meaning that it belongs to the person who registered as a member in the CCECRR, regardless of the payment method of the membership fee. member. Membership is valid one year from the date of registration. Pachetele de membru disponibile sunt următoarele Membru SILVER Membru GOLDEN Membru PLATINUM GENERAL INFORMATION (helps to better establish the members area of interest, completion is optional) SECTOR DE ACTIVITATE (vă rugăm să indicaţi activitatea principală a organizaţiei dumneavoastră. Bifaţi o singură opţiune) Productie industriala/auto/FMCG Telecomunicatii/IT&C/BPO Sanatate/Farma Agricultura Distributie/Transport/Logistica Utilitati (electricitate/gaz/apa) Banci/Asigurari HoReCa/Turism Furnizori de servicii pentru CCECRR Retail Advertising/Media Educatie/ONG MĂRIMEA ORGANIZAŢIEI (vă rugăm să completaţi numărul aproximativ al angajaţilor din organizaţia dumneavoastră din România) CIFRA DE AFACERI (vă rugăm să indicaţi cifra de afaceri estimativă a organizaţiei dumneavoastră în 2012) NIVELUL PROFESIONAL (vă rugăm să indicaţi care dintre următoarele variante corespund rolului dumneavoastră curent în organizaţie) Director general Specialist/expert Trainer Director de functiune Asistent de functiune/asistent manager Profesor Manager de functiune Consultant Altele Send
Membership in the CCECRR is individual, meaning that it belongs to the person who registered as a member in the CCECRR, regardless of the payment method of the membership fee. member. Membership is valid one year from the date of registration.
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