Membership Statues *Full MembershipAssociated MembershipCompany Name: *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta and MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo (DRC)Congo (Republic)Cook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmark (Danmark)Diego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedonia (FYROM)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. Vincent & GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCountryPhone: *Fax:Email *Website / URLInformation of the Person Completing the application form:Name *FirstLastJob title: *Mobile Phone: *Email *Information of the Chief Officer:Name *FirstLastMobile Phone (Chief Officer): *E-mail address (Chief Officer): *Information of the Financial Officer:Name *FirstLastMobile Phone (Financial Officer)E-mail address (Financial Officer) *Company information *Agri Machinery ManufactureDealer/distributorBusiness Consulting, Market Research, PR and Government RelationsEducation and Training Services Financial Services (including Investment, Brokerage, Financial Leasing)Food Products and Beverages (Manufacturing, Wholesale and Retail Trade) HoReCaServices Activities (including NGOs)Products/Services Offered in Eastern Europe: *Company is: *Joint Stock Company / Limited LiabilityJoint VenturePartially or Wholly Owned SubsidiaryRepresentative OfficeForeign Investment CompanyOtherIf other, please specify:Please specify names of the ultimate beneficial owners and controlling shareholders: *Number of Employees Worldwide: *Please state the reasons this organization is interested in joining East European Alliance *Export developmentLobbyingPromotional OpportunitiesStatistical Reporting ProgramTrade Shows DiscountsIndustry ContactsMarket informationSafety, Regulatory & TechnicalAdvocacy & LegislationEducation ProgramsOther reason (please specify below)Other reason for joining:COMMITTEES AND WORKING GROUPS ARE ALLIANCE DRIVERS OF POLICY-RELATED ISSUES AND THERE IS AN EXPECTATION BY THE BOARD OF DIRECTORS THAT ALL MEMBERS WILL PARTICIPATE ACTIVELY IN AT LEAST ONE COMMITTEE PROVIDING EXPERTISE AND SUPPORT. Please mark all issues you/your colleagues would be interested in participating in (at least one): *Agri Machinery ExportSeeds Export Grain and Oilseeds ExportFruits & Vegetables ExportLegal Issues & Taxation We as an organization applying for Membership in the East European Agricultural Alliance are familiar with and agree to abide by Alliance's Guiding Principles for a Business Code of Conduct. *AgreeDisagree Submission of participation in the Eastern European Agricultural Alliance marketplace and entering your personal data (as part of the registration procedure, by handing a business card or in another form) will be treated as confirmation of the Applicant's consent to include his personal data in the Eastern European Agricultural Alliance, in accordance with the Act of 29.08.1997 on the protection of personal data, Dz. U. No. 101, item 926 with changes and their collection, storage, changing and sharing by Eastern European Agricultural Alliance for communication, didactic and statistical purposes, including for the purpose of sending advertising and commercial information of Eastern European Agricultural Alliance electronically to the e-mail address provided in the application, as well as to provide and enable the speakers, sponsors or conference partners to contact the Reporter (for the purpose of presenting advertising and commercial information or cooperation proposals). The administrator of personal data within the meaning of the above The law will be Eastern European Agricultural Alliance based in Krakow (31-161) at ul. Szlak 8a. Under the rules provided for by the provisions of The Applicant's statute has the right to access your data, correct it and request to stop processing it. I agree to receive commercial information by electronic means from Eastern European Agricultural Alliance. I agree to share personal data for marketing purposes for entities cooperating with Eastern European Agricultural Alliance and to receive commercial information by e-mail from such entities. Consent to the processing of personal data and to receive commercial informationDon't consent to the processing of personal data and to receive commercial informationEmailSubmit