GlobalCCU Membership Community
Registration form

Company / Organisation

Company name *

Activity sector ... Advertising, marketing Aerospace and Defense Agriculture, forestry, fishing, hunting Airlines Apparel Automotive Building Materials, Glass Chemicals Education Electronics, Electrical Equipment Energy Engineering, Construction Finance, Banking, Insurance Foods and Beverage Energy Home Equipment, Furnishings Hotels, Casinos, Resorts Industry manufacturing Mail, Package and Freight Delivery Mining and quarrying Pharmaceuticals Public sector (Government and Non Profit) Technology, Media and Telecommunications Transport, Storage & Logistics Travel and entertainment Utilities & Waste Management Wholesale and retail trade Other, please specify

... or other

Address *

City *

State/Province (If relevant)

ZIP/Postal code

Country *

URL company website *

Membership coordinator representative of the organisation

Civility Ms. Mr.

First name *

Family name *

Job title *

Direct line telephone * Please indicate area code

Mobile telephone * Please indicate area code

Professional email * Including the name or acronym of your Organisation

Please select your Membership level

Please enter the details of each executive team member below

(depending on the membership level chosen)

Please note :

• Member#1 should be the Head of the Corporate University
• Member#2 should be the Membership Co-ordinator

Note that only professional emails, including the name of your Organisation, are accepted.

	First name	Family name	Job title	Professional email	Mobile number
Member #1
Member #2
Member #3
Member #4
Member #5
Member #6
Member #7

Invoicing

Upon reception and checking of your registration, you will receive an invoice.
Note the invoice can be delivered in digital format only. Please indicate the billing details if different from above

Company name

Address

City

State/Province (If relevant)

ZIP/Postal code

Country

VAT identification number Mandatory for Companies in the European Union

Select your mean of payment

By wire bank transfer to our account. by Credit Card via our Virtual Electronic Payment terminal

Please note there will be a 3% charge to use our Virtual Electronic Payment terminal. Bank charges and change costs must be made at the sender’s expense.
All payments must be processed to have access to the Membership Community activities.
No refund can be made, and no cause of refund can be invoked except in case of force majeure circumstances, not-including pandemic.

Note: Memberships are non-transmissible to third parties of the Company. Substitution of delegates is allowed, please read the conditions mentioned in the Membership Community page.

I, the undersigned, (First and Family name) *  representative of my organisation, agree the general conditions concerning registration and cancellation policy, refund, substitution and european VAT information.

• I declare that all of the information I provide herein is correct and current.
• Clicking here has the same legal effect as a handwritten signature. By clicking here, you agree that the information you have provided in this form is complete and accurate and you understand and accept the terms and conditions that make up this Agreement.
  Date (dd/mm/yyyy) : *

GDPR compliance - Thank you for providing us with information. Your data will be safe with us. We will not share it with any third party.

Submit registration