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APPLICATION FOR NEW MEMBERSHIP - YEAR 2009
I hereby apply for 2009 membership of Australian & New Zealand Business in Qatar
Individual □ Corporate □ (please tick)
Note: Please provide one form for each person included in corporate membership.
Name (CAPITALS):------------------------------------------------- Date: -------------------------------
Nationality: -----------------------------------------------------------------------------------------------------
Company: ------------------------------------------------------------ PO Box: ------------------------------
Job Title: --------------------------------------------------------------------------------------------------------
Office Tel: ---------------------------------------------Office Fax: -------------------------------------------
Mobile: -------------------------------------------------Home Tel: --------------------------------------------
Email: ---------------------------------------------------Website: ---------------------------------------------
Note: ANZBIQ communicates with members by email.
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RENEWAL
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I include the 2009 subscription fee of QR 1000 (Corporate) / QR500 (Individual/Corporate Associate). QR
300 (Overseas Membership - conditions apply)
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NEW MEMBERSHIP:
I attach the following information together with the 2009 subscription fee of QR 1000 (Corporate) / QR500 (Individual/Corporate Associate)
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Photocopy of Passport and Residence Permit/Visa.
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Details of associated Australian or New Zealand Company, if applicable.
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Proposed by:---------------------------- ( ANZBIQ Member )
If you do not know of a current ANZBIQ Member to propose you, the ANZBIQ Committee can support applications.
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I do not wish an illustrated Directory Membership entry. Please tick □
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