Lithuanian Chamber of Commerce in UK

Application Form

APPLICATION FOR MEMBERSHIP

I/We hereby apply for membership of Lithuanian Chamber of Commerce (LCCUK) and agree to be bound by its Memorandum and Articles of Association.

ABOUT YOUR COMPANY

Company Name:

Known as (if different from above):

Address:

City:

County:

Postcode:

Phone:

Fax:

Company Email:

Company Website:

Description of business (products, services etc):

Business sector (Please provide SIC code if known):

Parent/holding company (please state if applicable):

Company registration number:

Total employees (including partners and directors):

Year business established:

Main reason for joining LCCUK:

COMPANY REFEREES

Please give names, addresses and telephone numbers of two LCCUK members or two trade/professional referees, one of which should be your bank. We will contact referees only in relation to this application.

LCCUK member 1 (company name, contact name):

LCCUK member 2 (company name, contact name):

Bank:

Address:

City, County:

Postcode:

Contact Name:

Job Title:

Company:

Address:

City, County:

Postcode:

Company:

Contact Name:

Job Title:

Please state where you hear about us?:

YOUR DETAILS

Principal contact (the main contact for LCCUK administration)

Title:

Full Name:

Job Title:

Responsible For:

Phone:

Fax:

Email:

PRIVACY AND DATA PROTECTION - personal data/principal contact

We are committed to protecting your privacy and will only use the information we collect about you in accordance with the reasons stated when we collect the information.

The information supplied by you will be held on a database by Lithuanian Chamber of Commerce in the UK and used to inform you of member benefits and events, survey tour views and manage your membership.

Your company data will appear on the Lithuanian Chamber of Commerce website unless you do not wish to do so, please tick this box.

You will receive a copy of London Chamber of Commerce monthly Members New Newsletter by email unless you do not wish to receive it, please tick this box

Your personal data will be used to:

Provide you with details of member benefits offered by Lithuanian Chamber of Commerce unless you do not wish to be informed, please tick this box.

Inform you of offers we have negotiated with third parties to support your business or save your business money unless you do not wish to be informed, please tick this box.

Please indicate with a cross in the box if you do not wish to receive information by any of the following media:

Telephone, Fax, Email, Mail.

Please note that by opting out of any communication channels you may miss out on events, information, discounts, exclusive offers and opportunities to voice your views, all of which are benefits of your membership and could benefit your business.

MEMBERSHIP SUBSCRIPTION

• All members are charged a one-off registration fee of £100.00, to add to the membership subscription.
• Subscription fee for year 2008/2009 is £100. If you are interested in the sponsor membership, please contact president Darius Paskauskas on telephone 079 6770 5583.
• Registration fee is only payable on joining and is not applied to renewals.
• Membership runs for period from and to Annual General Meeting (AGM) which usually take place yearly on 16th May. If you are subscribing just before it, you can receive discount. Please contact Secretary Jurate East on telephone 07895405678 for more information.
• Members are normally entitled to treat their subscription as a business expense in computing liability for tax.

Annual subscription fee - £100
Registration fee - £100
*Total - £200

You can pay it by PayPal directly from here or by cheque – please make cheque payable to Lithuanian Chamber of Commerce.

I/We confirm the the information given is correct and agree to be bound by the articles of association and byelaws of Lithuanian Chamber of Commerce in the UK.

	Signed (please note by ticking this box we will accept it as your signature)
Date
Name
Position

You can fill in paper application form by downloading it here.

Please send any correspondence to:
Lithuanian Chamber of Commerce in the UK
Unit 1, Raven Wharf
14 Lafone Street
London SE1 2LR

* - In the event of an unsuccessfull application, payment will be refunded in full.
For resignation of membership, we require notice in writing one month prior to the renewal date.

Confirm number: