We have been informed about the Cyprus – Slovakia Business Association and I hereby declare my interest for membership. I understand that my eventual application shall be considered provided that I fulfill all commitments, in accordance with the Constitution of the Association to become a member.

Name of Company*

Name of Representative *

Sector / Area of Activity *

Postal Address *

P.O.Box *

Area Code *

Tel. *

Fax *

Email Address *

Website Reference *

Date *

Signature *

Validation Code *