Corporate Enrollment Form

  

Please complete the following form to enroll your company and your corporate representatives in the Canadian-Swiss Chamber of Commerce. With regards to completing the information for the representatives, please only send us the contact details that differ from the firm.
   
Name of Company* :
Kind of business* :
Address* : P.O. Box :

Zip code* :

Town* :
Telephone* : Email :
Fax : Web Site :
Note : please provide phone and fax as a string of numbers, without spaces or special characters - ex. 022 / 123 45 67 becomes 0221234567
Representatives :    
1) First Name* : Last Name* :
Title :  
Address : P.O. Box :
Zip code : Town :
Telephone : Email* :
Fax : Web Site :
2) First Name : Last Name :
Title :  
Address : P.O. Box :
NPA : Town :
Telephone : Email :
Fax : Web Site :
3) First Name : Last Name :
Title :  
Address : P.O. Box :
Zip code : Town :
Telephone : Email :
Fax : Web Site :
4) First Name : Last Name :
Title :  
Address : P.O. Box :
NPA : Town :
Telephone : Email :
Fax : Web Site :
5) First Name : Last Name :
Title :  
Address : P.O. Box :
Zip code : Town :
Telephone : Email :
Fax : Web Site :
Sponsored by :
Annual Membership Fee is CHF 500.- (for up to 5 representatives)
Additional Comments :    
       
I have read, understood and will respect the terms of the CSCC By-Laws and Website Use Policy
       
   
 
 
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