Registration AKJ Mexico 2018/19

Registration for a membership or for more information.

	For a membership of the AKJ Automotive Mexico
	For the next meeting of the working group
	I accept the regulation, that all information which are shown, distributed and discussed in and for the working group, are confidentially and only for used by members of the working group.

Registration for a membership or interest

First Name

Surname

Title

Function

Company Name

Street

City Code - City

Country

Phone/Fax

Mobil/Cel

E-Mail

RFC (tax number)

Additional participants
	If additional persons participate, please give here names, functions and phone/email contacts
Message and/or Invoice address if different from above

	Interested for information
	Mark here if you are interested in the activities of the working group and if you want more information
	Registrate for a membership
	Mark this field if you want to be a member of the AKJ Group. We will than contact you for the next steps.

I and we agree, that my contact datas can useed for further invitation and for information which are needed for the organization of the meetings and also for further conferences.

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