Application Form

Please fill out the form below then Print, sign and fax / email to:
P.O.Box 21455, CY-1509 Nicosia
Tel: 22889890, Fax. 22667593
E-mail panayiotis@ccci.org.cy

Annual Membership Fee: EUR170

We have been informed about the Cyprus - Czech Republic Business Association and I hereby declare my interest for membership. I understand that my eventual application shall be considered provided that I fulfil all commitments, in accordance with the Constitution of the Association to become a member

Name of Company

Name of Representative

Sector/ Area of Activity
Postal Address
P.O.Box
Area Code
Phone
Fax
E-mail
Web-Site Reference
Date
Signature