Join ADM

Application form for ADM membership

Thank you for your interest in becoming an ADM member. To help us process your application quickly and efficiently, please fill in the information below and send it to us by clicking the “submit” button. Your registration as an ADM member is only complete, however, after reconfirmation by email. In some circumstances this may take a couple of days, pending the decision of the Board.

PLEASE NOTE

This registration form is only meant to enroll your entire organisation as an ADM member/partner. You can check our members & partner page to see if your organisation is already part of the ADM network. If you wish to stay up to date on our activities and/or to receive a personal login for the restricted areas on the website you can sign up here.

Mr. Ms.

First Name*

Last Name*

Year of birth ?

Title* Company* Company type Email* Phone*

Mobile Phone ?

Please use format 0470 12 34 56

I learned about ADM via...:

Important

The fee for membership is each time valid for a period of 12 months ("working year"), starting on the invoice payment date.
The amount of the fee is based on the type of company of the new member and/or the number of employees.
Membership renewal takes place automatically at the beginning of each new "working year". You will be informed about this in writing (e-mail). You can subsequently stop membership by means of a written cancellation not later than 30 days after this message.
For more details, we refer you to the Conditions of Sale on this website.

Billing details

VAT

Please use format BE0xxx.xxx.xxx

Company billing street

Company billing postal code

Company billing city

To the attention of Require a purchase order number before invoicing Remarks on invoice

Main contact person for the company

(If different from subscriber)

Mr. Ms.

First Name

Last Name

Year of birth ?

Function Email address Telephone number (if different from the general number.)

Other people within the company who should be kept informed of ADM activities

Person #1

Mr. Ms.

First Name

Last Name

Year of birth ?

Function Email address Telephone number (if different from the general number)

+ Add another person

Join ADM

Application form for ADM membership

PLEASE NOTE

Important

Company information

Billing details

Main contact person for the company

Other people within the company who should be kept informed of ADM activities

Register my company as a member

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