Registered trade name

Address

Place, zip code

Nation

VAT Reg. No.

Contact person (First name and surname)

Email Address

Phone number

I/We hereby declare my/our application for accession to the society CARMUNICATION as I/We hereby declare my/our application for accession to the society CARMUNICATION as Regular member/full membership (Entrepreneurs) Regular member/half membership (Entrepreneurs) Associate member (Consumer) Honorary members

Field of activity Field of activity Automobile (spare) parts producer Automobile wholesale (spare) parts provider Independent workshop Authorized workshop Fleet manager/Leasing company Insurance company Bank General members/Software services providers Media

Please send me invitations and news Please send me invitations and news by e-mail by post

Society's statutes Society's statutes I/We hereby agree with the society’s statutes, any issued by-laws, resolutions, etc. I/We understand that the society’s statutes are available at the website www.carmunication.eu

Terms of payment Terms of payment I/We hereby commit myself/ourselves to pay the entrance fee as well as the first (aliquot) membership fee within one month after receiving the invoice issued by the Executive Board.

Data processing consent Data processing consent I/We hereby agree that my/our data are stored by the society. The society will make use of the data solely for maintenance purposes. The Society reserves the right to commission a service provider/processor with the data processing. However, the data will not be disclosed to any third parties. The consent to the processing of my/our data can be revoked at any time in writing.