Private VIP Hub Form | CBC

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#TogetherWeAreStronger

CBC Private VIP Hub Form

1. CBC Member Information

First Name

Last Name

Birthday

Upload Profile Photo

Upload high-quality picture in .jpg .png (max. 3 MB)

Company

Position

Additional Company/ Organisation

Company/ Business Website

Personal Website

Company

Social Media

LinkedIn

Facebook

Twiitter

Instagram

Invoicing Details

Type of Invoice *

Personal Invoice

Company Invoice

Company (if you chose Company Invoice)

Street

City

Postal / Zip Code

Country

Contact Details

Principal Email

Mobille

WeChat

Secondary Email

Landline

WhatsApp

Technology Interest

Choose one or more options:

Solar Power

Wind Energy

Bioenergy

Clean Water

Energy Efficiency

Smart Energy

Ai, Blockchain & Digitalisation

Energy Storage

Green Hydrogen

Electric Mobiility

Recyclng

Floating CleanTech

2. CBC Membership

Why would you like to join The Club

Obligatory Introduction by two current CBC Members

1st Introductory Member

Full Name

Email

2nd Introductory Member

Full Name

Email

Type of Membership

Choose one option

Elite Member (12.000 Euro/Year)

Premium Member (3.600 Euro/Year)

Full Member (1.200 Euro/Year)

3. Acceptance & Authorization

I have read, understood, and accepted the rules for Membership and auhorize CBC Secretariat to send me an invoice upon acceptation of this application

I agree to the Terms & Conditions as well as with Privacy PolicyView Terms of Use & Privacy Policy

I would like to subscribe to CBC News WhatsApp Group

I would like to receive CBC updates, business offers and eNewsletter

Your Signature

Thanks for getting in touch with us!    We'll get back to you as soon as we can.

#TogetherWeAreStronger

Thanks to Our Visionary Corporate Partners!

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