APPLICATION FORM FOR ASR LEGAL MEMBER

Institution.............................................................................................................

We want to become a member, as institution, of the Romanian Welding Society from .

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The reference of institution are as follows:

The exact name of the institution ............................................................................

Address (street, number, postal code, town, country):......................................………………...................................................

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Phone ..........................................Fax................................ E-mail......................

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Web Site .............................................................................................................

For current problems you can contact Mrs (Mr)

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Phone ................................ Fax ................................E-mail...............................

Date ....................................................................................................................

General manager (Name,signature)...................................................................

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