APPLICATION FOR CORPORATE MEMBERSHIP OF
EUROPEAN MANUFACTURERS OF
VETERINARY DIAGNOSTICS (EMVD)
We, the undersigned,
(Indicate first name and last name)
in our quality of
Acting on behalf of
(Company name and registered address)
Hereby apply for membership of EMVD
Done at on
Authorised signatures
MEMBER IDENTIFICATION FORM
1 Name of the Company
2 If existing, official abbreviation
3 Legal form of incorporation
4 Date of incorporation
5 Nationality of the company
6 Capital
7 The company is a subsidiary/division of
8 The company belongs to the group/holding of
9 Company head office
Street address
Postal address
(if
different)
Telephone Telefax
10 Name, postal address and telefax number of the person to whom EMVD general correspondence should be mailed
OTHER
INFORMATION
(if available)
1 PERSONNEL EMPLOYED BY THE COMPANY
A. Workers :
B.
Employees :
FIELDS OF ACTIVITIES
(Please tick as appropriate)
O Research and development
O Manufacturing
O Marketing (Main countries where laboratories are established)