Become a Member (Offsite Payment)

Membership form for the MabDesign association

COMPANY

Company Name *

N° SIRET *

Intra-community VAT N° *

Phone *

Billing Email *

Website

Number of employees *

Address *

Zip / Postcode *

City *

Country *

Membership category *

Company

Training organization

Local or national structure

Research institute

Upload COMPANY LOGO *

Maximum file size: 4 MB

If no logo, please upload a white image

I authorize Mabdesign to use my company logo for display in its documents.

Amount of your membership

0.00

€ INCL. VAT

Brief description of the company *

Cette brève description sera utilisée pour présenter et mettre en valeur votre organisation sur nos supports de communication (réseaux sociaux, newsletters par exemple) .

CEO

Last name *

Email *

I would like to subscribe to the Mabdesign mailing list.

First name *

Phone *

OTHER contacts

Acceptance of Terms & Conditions of Membership

• I hereby declare that I would like my company to join the Mabdesign Association and have taken note that my application for membership is subject to validation in accordance with the Association’s statutes.
• I authorize Mabdesign to publish the name of my company, its brief description and its visual identity as a member on the various communication media supports.

By sending this form to Mabdesign, I accept the privacy policy available at this link. In accordance with the French law concerning informatics and liberty , we inform you that your contact details are now listed in our files. You may exercise your right to access and rectify your personal data by contacting: contact(at)mabdesign.fr and/or by post: Mabdesign - Bât. L'Intial, 17 rue Crépet, 69007 Lyon.

Become a Member (Offsite Payment)

Membership form for the MabDesign association

Jean-Roch Fabreguettes

MEARY