Application form

To: THE BOARD OF DIRECTORS OF THE EUROPEAN BUSINESS ASSOCIATION OF KAZAKHSTAN (EUROBAK)

Date *:

I/we agree that I/we *:

will join EUROBAK and will pay fees as shown below and will abide by all principles and Regulations of EUROBAK:
EUROBAK SCHEDULE OF FEES

Type of Member	Joining Fee *	Annual Fee (KZT)
Sponsor Member	No	1 200 000
Large Company	Yes	375 000
Small Company	Yes	190 000
Individual	No	100 000
Non – Resident Company	No	100 000

* Payable once only at a cost of 100 000 KZT

Please note that Large & Small Company Category of Membership is determined by applying terms stated in this form on worldwide scale and is not a matter of choice apart from Sponsor Member category.

A Large Company is a company with any of the following (worldwide):

- EUR10m or more in Sales; or

- EUR10m or more of Investment; or

- A direct employer of 50 or more staff

NOTE: Fee includes free entrance to EUROBAK events – Sponsor Member – maximum 6 people, Large company – maximum 4 people, Small Company – maximum 2 people, Individual – 1 person, Non-Resident – maximum 1 person

Name (Company/Individual) *:

Contact person *:

Address *:

Telephone *:

E-mail *:

Fax *:

RNN *:

Name of the Bank *:

Bank Account No *:

BIK *:

Security code *:

This form is a preliminary application form and further information will be requested by the Board of Directors.

Marked fileds* are subject to fill in.

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