Application Form Application For Membership Please complete the form and send it. Special Sustaining Membership - may register their branches free of charge - Cost per annum €3,500Sustaining Membership - may register up to ten branches free of charge - Cost per annum €1,800Corporate Membership - may register branches at Euro 170 each - Cost per annum €750 If you have selected "Corporate Members" and you wish to register your branches, please tick below and the Chamber staff will contact you promptly. Register your Branches N.B. The fee for the first year of membership will be on pro-rata basis (see the table below). Company Name/Full Name Company Name (if individual: Full Name)* Address* Postcode* City* Country* Tel* Email* Website Industry VAT number* SDI code (IT) Contact Person Contact Person* Title* Full name* Position* Email* Dir. Tel* Insert other Contacts (Title, Full Name and E-mail) in text area below if you wish to receive monthly e-newsletter Britaly and frequent newsflashes: How did you hear about the Chamber? Which are your main reasons to join: Be a part of an international business communityEngage in high profile networkingAccess information & trainingAccess to power & AdvocacyMarket access (Italy)Market access (UK)Other If you select "Other", please fill the field below: Payment can be made via bank transfer to: UniCredit SpA, Ag. 34300 Milano Edison — Account No 000101978687 IBAN: IT850200801600000101978687 - BIC/Swift code: UNCRITMMXXX I/We accept, in compliance with Art. 9 of the Articles of Association of the Chamber, that notice of resignation of Membership must in all cases be given in writing and may be given at any time. However, unless such notice is given THREE MONTHS before the issuing of the annual Membership fee, the payment of the subscription for the ensuing year shall be obligatory. I declare that I have seen the information on the use of my personal details and I authorise the processing of my personal data (see privacy document attached). I Accept We ask that you authorise us to record your interests & preferences, so we can invite you to the events that you may be interested in and ask that you authorise photos/videos because our events are typically documented by photographers and denial to being photographed may result in denial of access to the event. FOTO & VIDEO DURANTE GLI EVENTI!: Presto espresso e separato consenso alle riprese fotografiche/video effettuate in occasione di eventi/manifestazioni/convegni organizzati dal Titolare, al fine della trasmissione ai partecipanti e per l'eventuale pubblicazione sulk riviste e media istituzionali, anche on line, del Titolare. INTERESSI & PREFERENZE: Presto espresso e separato consenso alla profilazione dei miei dati, in base agli interessi e preferenze espresse, nonchè al ruolo aziendale, al fine di inviare comunicazioni istituzionali mirate. COMUNICAZIONI: Presto espresso e separato consenso all'invio di newsletter periodiche relative all'attività svolta dal titolare.