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Registration type *

Registration type

Note: Fields with an asterisk (*) require an entry

I am a *

form_type

I am a

Private individual

Salutation

Title

First name *

Last name *

Street Address *

Address additional info

Postal Code *

City *

Country *

Tax Number (mandatory for Italy) *

E-Mail *

Telephone

Birthday *

City of birth *

Occupation

Company

Company Name *

Number of Employees *

(full-time equivalent)

Business to Business

B2B

Business to Customer

B2C

Tax Number

VAT ID

Sector

Address additional info

Street Address *

Postal Code *

City *

Country *

E-Mail (Head office) *

Telephone (Head office)

Company Website

Association

Association Name *

Number of employees (full-time equivalent) *

Charitable status

Accepted as charitable

Registration Number of Association

Tax Number

Sector

Address additional info

Street Address *

Postal Code *

City *

Country *

E-Mail (Head office)

Telephone (Head office)

Website

Contact person

Salutation

Title

First Name *

Last Name *

E-Mail (Office) *

Telephone (direct dial)

Birthday *

Role in Company

ECOnGOOD Association and local chapter

Select an Association *

The selected association will take care of your data (Don't worry, this does not involve a membership).

Main Association (official name)

Mail address

Regional Association (official name)

Mail address

Local Chapter

Optional: Select a Local Chapter you would like to be associated with

Local Chapter

Mail address

Amount and Payment

Type of membership

Fee according to company size

Normal fee

I wish to donate the following amount *

Please enter a value of 5 or higher
We will send you a receipt for your donation

Currency

Optional: I wish to give more than the standard fee

Please keep in mind, that this should be higher than the normal fee
Find further informations about statutes and membership fees on subpages of www.econgood.org

Payment frequency

Payment method

DIRECT_DEBIT

BANK_TRANSFER

IBAN *

BIC

I confirm that I give permission to use SEPA to transfer the amount

I confirm that I will transfer the amount timely to the following account:

ECOnGOOD association Bank account holder

ECOnGOOD association IBAN

ECOnGOOD association BIC

Services

Actively work in ECOnGOOD

Yes, i want to

This will trigger an account request (once you have been confirmed as a member). If you are not sure yet, please leave it empty. You are free to change this any time later.

Listing of the companies name on the website

I agree

Newsletter subscription

I agree

You can unsubscribe from our newsletter also anytime later

Data protection and Code of Conduct

Data protection and privacy notice *

I have read the Data protection and privacy notice and agree to the storage of my data

Data protection agreement *

I have read the Data Protection Agreement and agree to conform to it

With an ECOnGOOD account you will have access to personal information of other people.
The Data Protection Agreement explains, how to act respectfully with this information and conform to data protection laws.

Code of Conduct

I have read the Code of Conduct and agree to conform to it

Note to ECOnGOOD

Is there anything else you would like to let us know?

Debug info

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