Registration Form
Company name
*
Last name
*
First name
*
E-mail
*
Mobile phone number
*
I am a member of RAI Automotive Industry NL
Yes
No
I will become a member of RAI Automotive Industry NL
Invoice Information
Company name
*
PO number
Adress
*
Post code / Zip code
*
City
*
Country
*
1 + 1 =
*
Contact name
*
Telephone
*
Email
*
Remark
Do you agree with the terms and conditions?
*
I agree
Terms and conditions
Email
In case you have any questions about this form or the confirmationmail, please, contact
secretaryraiainl@raivereniging.nl
.
.
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