Application for membership as a member/supporter

The OpenIndustria Association
Applicant Resident in street/square - house number Postal Code City Province Birthday Birthplace Email Phone Occupation Name of company/institution Company/Institute Head Office Sector/service Company/Institute Motivation to join the OpenIndustria association
Membership fee (valid 12 months)
Partner/or Supporter € 50,00
Student/ student € 30.00
Payment
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Communication: Once the payment is made, please send a copy to Openindustria email (see contact) I Accept  Terms&Condition and Privacy Policy Submit Request for Membership

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