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PORTUGUESE ASSOCIATION OF INDUSTRIAL ARCHAEOLOGY |
| APAI - R.Arroios, 96-3ºEsq. - 1150-056 Lisboa tel: +351-21 355 53 67 / +351-21 359 00 54 fax: +351-21 355 15 15 |
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| (Print and send to the Association by post or e-mail) |
| APAI Member's Enrolment Form | ||||||||||||
| SOLE MEMBER | Name ____________________________________________________________________________ Adress __________________________________________________________________________ Postal Code ____________________________________________ Phone _________________ E-mail __________________________________________________________________________ Occupational Pursuits __________________________________ Taxpayer Nº ___________ Place of Work ___________________________________________________________________ Adress __________________________________________________________________________ Postal Code ____________________________________________ Phone _________________ E-mail __________________________________________________________________________ Activity displayed related to industrial archaeology: _________________________________________________________________________________ _________________________________________________________________________________ Date ____ / ____ / _____ Signature ______________________________________ |
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| ASSOCIATE MEMBER | Business Style _________________________________ Juridical Nature _______________ Nature of Business _____________________________ Corporate Body _________________ Adress __________________________________________________________________________ Postal Code ____________________________ Phone ________________ Fax _____________ E-mail __________________________________________________________________________ Representative next to the Association: Name ____________________________________________________________________________ Services __________________________________ Function ____________________________ Adress __________________________________________________________________________ Postal Code ____________________________ Phone ________________ Fax _____________ E-mail __________________________________________________________________________ Others contacts next to the Association (in case of absence of its representative): Name ____________________________________________________________________________ Services _____________________________________ Phone ____________________________ Name ____________________________________________________________________________ Services _____________________________________ Phone ____________________________ E-mail __________________________________________________________________________ Date ____ / ____ / _____ Signature ______________________________________ |
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* Admission of member only on payment of initiation free.
* Fees are as follows:
* Besides privileges sanctioned in by-laws, active members benefit 20%-30% discount in acquisition of APAI publications and any other fruition promoted by the Association, as well as Arqueologia & Indústria magazine free of charge. * For your convenience, please request your Bank transfer of yearly amount of fees to be deposited in APAI account: Banco Português de Investimento BPI - Counter of Estefânia, Lisboa - NIB: 00100513.1432288.000.161 |
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