Membership Application

Membership starting after 1 October is including the remainder of that year and the following year. The annual membership fee for 2017 is EUR 150 plus 45 entrance fee.


The person below, having a significant responsibility in the transfer of intellectual property, wishes to become a member of LES Benelux. Annual membership of LES Benelux provides privileged access to topic meetings, that year's numbers of the journal 'les Nouvelles' and also membership of LES International. He/she understands that his/her membership is personal and non-transferable, and agrees to conform to the by-laws and Rules of Conduct of LES Benelux (published at www.les-benelux.org), and to pay the membership dues annually until formal resignation. Any such notice of resignation must be given in writing to arrive before 31st of December of any year, to be effective from the start of the following year.

In order to enjoy all the benefits of membership, it is necessary that your particulars (name, address, phone number, e-mail address and areas of professional activity) are supplied to LES International. These particulars are updated on an on-going basis. LESI is incorporated in Delaware, USA. LESI holds these data in a database from which the members directory and other society products ensue. Such a transfer of data is governed by European privacy laws (EU as well as individual member state legislation), which LES Benelux is committed to respecting.

(Fields marked by a red star must be filled in)

Title
*First name(s)
*Family name
*Gender Female
Male
Employer
Position
*Business Address
*Postal code
*City
*Country
Phone
Fax
Mobile
*E-mail
Web Site
Sector 1
Sector 2
Profession
Organization type
LES Young Executives
A new initiative is LES Young Executives (networking, special events). If you are 40 years of age or below, you can join this initiative, please tick the box and give us your birth date.

Yes, I would like to join the Young Executives Network
Birth Date (dd/mm/yy)
Would you be interested in participating as a speaker or discussant at a topic meeting?

Yes No

Topic 1

Topic 2

Please specify other professional organizations to which you belong:

1

2

3

*My application is sponsored by (LES member)
*Sponsor's Email
*By clicking the Submit button you confirm that you have read the above and would like to become a member of LES Benelux

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