Membership ApplicationAll fields marked with asterisk are mandatoryPersonal detailsName *Surname *Place of birthDate of birthAddressPostal BoxCityState / Province / RegionTelephoneMobileCountryProfessional profileProfessional titleCompany / Professional / Freelancer / Name of Association *Web siteIndustry sector *Not for ProfitMining activitiesManifacturingProviding essential services / utilitiesRetail / wholesaleShippingAccomodation and food servicesICTFinancial or insurance servicesReal EstateProfessional, scientific or technical servicesTools / machinery rental servicesHealth / welfare servicesEntertainment, sport businessAgribusinessPersonal care servicesTarget Markets *Italy - North EastItaly - North WestItaly - CenterItaly - SouthItaly - IslandsNorth AmericaCenter AmericaSouth AmericaNorthern EuropeSouthern EuropeEastern EuropeNorth AfricaCentral West AfricaCentral East AfricaSouthern AfricaFar East AsiaSouth East AsiaMiddle EastOceania# Number of employees# Number of female employeesAddressPostal BoxCityState / Province / RegionTelephoneMobileCountryOther positions in public or private sectorAwards for business and / or professionalLeisure activities and / or hobbiesFurther info eMaileMail *Repeat eMail *Membership class Businesswomen Professional / Freelancer AssociationsThe annual membership fee amounts to € 200,00 If your application should be accepted, We will notify you the method of paymentI want to be Ambassadress I agree to the Privacy Policy * I agree to the publication of my eMail in the Member List I agree to the publication of my Professional Profile in the Member List
