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Application/Registration Form
Title :
Mr
Mrs
Miss
Name :
*
Company name:
*
Address :
City/Town :
*
Country :
*
lebanon
Phone :
*
Fax :
E-mail Address :
*
Web Address :
Number of years in business :
Number of employees :
Date :
Day
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Month
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Year
1991
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2016
Signature :
Brief Description of Product(s) and / or Service(s)
*
Please list any other marine trade associations / organisations to which your company belongs :
We hereby apply for membership in AMIA as :
*
A manufacturer
An exclusive importer of a line of boats manufactured overseas
An exclusive importer of a line of marine products manufactured overseas
Marina
Publications
Other
Annual Fee US$ 500
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Application/Registration Form
