BISA Membership

1
Membership
2
Company
3
Representative
4
Association
5
Authorization
6
Declaration
7
Signature
1

Select Membership Type

2

Company Information

2

Representative Information

4

Association Membership Information

5

Authorization

Authorization from the company’s CEO or Managing Director is required to confirm that the representative has the authority to apply for BISA membership on behalf of the company. Or a BOD resolution authorizing the representative to apply for BISA membership on behalf of the company.

6

Declaration & Agreement

Accuracy of Information

I certify that all information provided in this application is accurate and complete.

Information Disclosure

I agree to disclose this information for BISA membership registry and publication.

Communication Consent

I consent to receive communications from BISA regarding events and updates.

7

Signature & Date

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PNG, JPG or GIF (Max 2MB)

Your signature will appear here

This date will be recorded with your signature