Application for Membership in ACTA

    Company

    Company name*

    ID No.*

    Registered office

    Street*

    Town/city*

    Postcode*

    Mailing address
    (Only if the mailing address differs from the company’s correspondence address.)

    Street

    Town/city

    Postcode

    Contact person

    First and last name*

    Title

    Phone*

    Fax

    E-mail*

    Website

    * required field