Filling and sending the form does not mean Eurochamber membership entry. 

 New Members shall be chosen to the Chamber based on a respective resolution of the General Meeting of Founders.

Supported information is used only for preliminary verification by the EuroChamber Secretary, if the person or entity interested in Eurochamber membership fulfills the statuory requirements.

The Eurochamber Sekretary will get in touch with you immediately for confirming your readiness to take part in the Ist  General Meeting of EUROCHAMBER OF COSMETICS AND AESTHETIC MEDICINE IN POLAND
 

EUROCHAMBER OF COSMETICS AND AESTHETIC MEDICINE IN POLAND

Warsaw, Jana Pawła II Str. Nr 80, loc. 58

APPLICATION FORM FOR EUROCHAMBER CANDIDATES PRELIMINARY VERIFICATION

Home Page 
PRODUKTY - PODZIAŁ | YELLOW PEEL |PRODUKTY SKIN RENU | CENNIK PRODUKTÓW | ZAMÓWIENIE |

Name, Forname

 

Postal Code

City

Street and nr

Telephone
direction nr

Tel. nr:

FAX

E-mail

GSM

What kind of Eurochamber membership are you interested in?

Ordinary Member (czynne i bierne prawo wyborcze)

Med doctor?

Individual Member (natural persons only)

YES

Honorary Member (up to Board or General Meeting decicion)

NO

Supporting Member (contributes the share to the Chamber benefit)

I have not made any decision yet

THE OWNERS OR REPRESENTATIVES OF THE COMPANIES, OTHER ENTITIES OR ORGANISATIONS, 
(AS WELL OTHER CHAMBERS) ARE KINDLY REQUESTED TO FILL FORM BELOW:

Company Name

 

Postal Code

City

Street & nr

Phone direction nr

Tel.:

FAX

E-mail

GSM

 Register Entry Date

   TAX Registration Nr

Short description of the Company activity

SPECIAL REQUEST:                                                                            I am the Specialist on the field of:

Send me detailed info by e-mail

Dermatology & Aesthetic Medicine 

Send me detailed info by post

Aesthetic Surgery

Place my company data in Eurochamber database

Cosmetics & Cosmetology

Let me know about General Meeting (date & place)

Others:

<<<Home Page>>>