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Online application

Please fill in the form below to apply to join the FINANCE INNOVATION cluster. You can alternatively download the application form and fax it or mail it to us.

ORGANIZATION


Organization:
Address:
Post Code: City:
Country:
Contact name:
Firt name:
Title:
Email address:
Tel.: Fax:
CLUSTER MEMBERSHIP FEE

I have determined my total membership fee based on the applicable membership category and I have checked the box for the corresponding amount below:

Member Categories*: Total excl. VAT Total incl. VAT Please
Tick
Founding members 30 000 € excl. VAT 35 880 € incl. VAT
Large companies (financial sector*)
> 250 employees or net banking income > €1 billion, premiums > €1 billion,
asset under management > €200 million, turnover > €50 million 		15 000 € excl. VAT 17 940 € incl. VAT
Large companies (other sectors*) 10 000 € excl. VAT 10 764 € incl. VAT
SME's
< 250 employees and net banking income < €1 billion, premiums < €1 billion
asset under management < €200 million, turnover < €50 million 		5 000 € excl. VAT 5 980 € incl. VAT
Very small companies or start-ups
< 50 employees and creation < 5 years or turnover < €10 million 		1 500 € excl. VAT 1 794 € incl. VAT
Universities, schools and research centers 3 000 € excl. VAT 3 588 € incl. VAT

* The general membership conditions define member categories and company size at article 4, as well as sectors (financial or other) at article 5.

MEMBERSHIP APPLICATION

I hereby apply to become a member of the FINANCE INNOVATION cluster
and confirm that I understand the general membership conditions.

Payment: by check written to the order of FINANCE INNOVATION
by bank transfer: Acct holder: FINANCE INNOVATION - Branch name: HSBC FR Palais Royal
Bank Code: 30056 - Branch code: 00045 - Acct 0045 0079054 - Key: 14
IBAN FR7630056000450045007905414

Place:
Date:


In accordance with Law N° 78-17 of January 6 1978, members can contact the association's administration to access and modify their personal data.

39, rue Cambon 75039 PARIS cedex 01 - France
TEL: +33 (0)1 49 27 17 22 - FAX: +33 (0)1 49 27 11 06 - Internet: www.finance-innovation.org
Paris EUROPLACE, association governed by the law of July 1, 1901


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