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Membership Application Form

Please complete the Members Application Form

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(Membership is per Company)
 
(Nominated representative of Member Company)
(Include country & area codes)
(Select a password to use once your membership has been approved)
 
Membership Invoices will be issued to the address above, unless you indicate a different address in the box below:
All members must meet the following requirements and tick the boxes below:
Anti Trust – I confirm I have read and agreed with the MIRA Anti Trust rules and regulations.
Articles of Association – I confirm I have read and agreed with the MIRA Anti Trust rules and regulations
 
Comments
I hereby agree to pay the membership subscription (as per current fees) according to the invoice payment terms.