Membership Application Form - Get Now DOC

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					Membership Corporate SME Application Form BenCham
Please fill in this application form and return it for Beijing by mail to beijing@bencham.org or by fax to +86 (0)10 64652080 or for Shanghai by mail to shanghai@bencham.org or by fax to +86 (0)21 61498113. 

Corporate Membership SME

For SME’s only (<500 employees worldwide) Benefits:  1 corporate member (main contact person)  6 members All China (or 3 members one chapter only)  membership prices (sponsoring packages, entrance fees) : reduction up to 50%  introduction of your company in our newsletter (profile + logo)  possibility to include your member news in our newsletter  addition of your company profile in our online database + full access to our database (through your personal log in code)  preferred partner position in our matchmaking sessions and events  free addition of your company to our BenCham Business Directory  1 free copy of our BenCham Business Directory

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Application

All information in this form could be included in the Member Directory if applying for Corporate Membership. Please mark with “X”

New Application Renewal Change of contact details Date of application :…………/……………/………………( day/month/year)
Membership All China Membership Shanghai Membership Beijing Membership Annual dues (Date to date) RMB 8,400RMB 4,950RMB 4,950-

Please complete this form as requested below
Benelux Chamber of Commerce in China www.bencham.org Beijing Rm. 5006 Xinhe Dasha, Sanyuanli No. 14, Shunyuan Street Chaoyang District, Beijing, 100027, P.R.China
北京市朝阳区顺源街三源里小区 14 号信和大厦 5006 室 邮政编码:100027

Shanghai Room 1505, Shanghai Silver Centre, No. 1388 Shanxi Bei Lu, cross Changshou Lu, Putuo district, Shanghai, 200060, P.R. China
中国上海市普陀区陕西北路 1388 号银座企业中心 1505 室, 邮政编码:200060

Tel: +86 10 64650320 / Fax: +86 10 64652080 Email: beijing@bencham.org

Tel: +86 21 61498314 / Fax: + 86 21 61498113 Email: shanghai@bencham.org

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General company details

Name of Company: Name of Company in Chinese: Segment(s):
Please select from the list below

Company address:

Office closest to the BenCham chapter you want to register with

Company address in Chinese: Postal Code + City: Website: Phone: Fax: Email: Company logo: Company description:
(Max. 100 words)

www. + 86 (0) + 86 (0)
Please e-mail a high resolution company logo (300 dpi) in jpeg format to beijing@bencham.org

Company description in Chinese:
(Max. 100 words)

Nationality of company: Location of different sites in China: Number of employees in China: Legal status:

Foreign enterprise

JV

WOFE

FICE

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Details Main Representative
Mr. Mrs.

Name: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email:

+ 86 (0) + 86 (0) + 86 (0)

Benelux Chamber of Commerce in China www.bencham.org Beijing Rm. 5006 Xinhe Dasha, Sanyuanli No. 14, Shunyuan Street Chaoyang District, Beijing, 100027, P.R.China
北京市朝阳区顺源街三源里小区 14 号信和大厦 5006 室 邮政编码:100027

Shanghai Room 1505, Shanghai Silver Centre, No. 1388 Shanxi Bei Lu, cross Changshou Lu, Putuo district, Shanghai, 200060, P.R. China
中国上海市普陀区陕西北路 1388 号银座企业中心 1505 室, 邮政编码:200060

Tel: +86 10 64650320 / Fax: +86 10 64652080 Email: beijing@bencham.org

Tel: +86 21 61498314 / Fax: + 86 21 61498113 Email: shanghai@bencham.org

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Details Associate members (6 members all China, 3 members one chapter only)
Mr. Mrs.

Name of 1st member: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email: Name of 2nd member: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email: Name of 3rd member: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email: Name of 4th member: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email: Name of 5th member: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email:

+ 86 (0) + 86 (0) + 86 (0)

Mr.

Mrs.

+ 86 (0) + 86 (0) + 86 (0)

Mr.

Mrs.

+ 86 (0) + 86 (0) + 86 (0)

Mr.

Mrs.

+ 86 (0) + 86 (0) + 86 (0)

Mr.

Mrs.

+ 86 (0) + 86 (0) + 86 (0)

Benelux Chamber of Commerce in China www.bencham.org Beijing Rm. 5006 Xinhe Dasha, Sanyuanli No. 14, Shunyuan Street Chaoyang District, Beijing, 100027, P.R.China
北京市朝阳区顺源街三源里小区 14 号信和大厦 5006 室 邮政编码:100027

Shanghai Room 1505, Shanghai Silver Centre, No. 1388 Shanxi Bei Lu, cross Changshou Lu, Putuo district, Shanghai, 200060, P.R. China
中国上海市普陀区陕西北路 1388 号银座企业中心 1505 室, 邮政编码:200060

Tel: +86 10 64650320 / Fax: +86 10 64652080 Email: beijing@bencham.org

Tel: +86 21 61498314 / Fax: + 86 21 61498113 Email: shanghai@bencham.org

Name of 6th member: Gender: Title: Personal nationality: Phone: Mobile: Fax: Email:

Mr.

Mrs.

+ 86 (0) + 86 (0) + 86 (0)

ATTENTION!
   Your application will be discussed for approval at the next BenCham Board of Directors meeting, following which we will be in touch with you to arrange formalities such as the payment of the annual membership fee. By returning this form, you agree that, after approval by the BenCham Board of Directors, your name(s) and company details as given above will be included in BenCham’s Membership Directory. The applicant is aware that the purpose of BenCham neither lies in providing a database, nor in merely supporting purely commercial activities of anyone targeting its members. In this respect, the BenCham will not allow the abuse of its database or events by members or non-members for simply selling any products or services among its members.

Benelux Chamber of Commerce in China www.bencham.org Beijing Rm. 5006 Xinhe Dasha, Sanyuanli No. 14, Shunyuan Street Chaoyang District, Beijing, 100027, P.R.China
北京市朝阳区顺源街三源里小区 14 号信和大厦 5006 室 邮政编码:100027

Shanghai Room 1505, Shanghai Silver Centre, No. 1388 Shanxi Bei Lu, cross Changshou Lu, Putuo district, Shanghai, 200060, P.R. China
中国上海市普陀区陕西北路 1388 号银座企业中心 1505 室, 邮政编码:200060

Tel: +86 10 64650320 / Fax: +86 10 64652080 Email: beijing@bencham.org

Tel: +86 21 61498314 / Fax: + 86 21 61498113 Email: shanghai@bencham.org

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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.

Segments
34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. Import/ Export Information Technology Insurance Legal Leisure & Entertainment Logistics/Shipping/Transport Machinery & Machinery Parts Management Consultancy Manufacturing Media/ Advertising/ PR Media/Marketing Medical Equipment Metals/ Minerals Other Paper & Pulp/Packaging Petrochemicals Pharmaceutical Printing/ Publishing/ Graphic Design Private Equity/ Venture Capital Project Management Consultancy Promotion Real Estate Relocation/ Transportation Retail/ Wholesale/ Sourcing Security/ Risk Management Services Telecommunications Textiles Trade & Distribution Training Travel Travel Industry Utilities Wines & Spirits

Aerospace Architecture/ Interior design Asset Management Automotive Automotive Components Aviation Banking Beverages Catering Chemicals/ Medical Commodities Computer/ Technology/IT Conference/ Exhibition Construction Consumer Goods Cosmetics/ Luxury Goods Education Electrical Electronics Energy Engineering Executive Search Fashion Food Ingredients Food Packaging & Processing Freight Forwarding/ Logistics Fund Management/Investment Gas (Equipment) Government Agency/ Trade Health/Nutrition Hospitality/Food & Beverage Hotel Human Resources/Consulting

Benelux Chamber of Commerce in China www.bencham.org Beijing Rm. 5006 Xinhe Dasha, Sanyuanli No. 14, Shunyuan Street Chaoyang District, Beijing, 100027, P.R.China
北京市朝阳区顺源街三源里小区 14 号信和大厦 5006 室 邮政编码:100027

Shanghai Room 1505, Shanghai Silver Centre, No. 1388 Shanxi Bei Lu, cross Changshou Lu, Putuo district, Shanghai, 200060, P.R. China
中国上海市普陀区陕西北路 1388 号银座企业中心 1505 室, 邮政编码:200060

Tel: +86 10 64650320 / Fax: +86 10 64652080 Email: beijing@bencham.org

Tel: +86 21 61498314 / Fax: + 86 21 61498113 Email: shanghai@bencham.org