APPLICATION FORM – START-UP MEMBERSHIP Documents folder to be submitted: Application form & CVs Business registration and fiscal certificate Code of Ethics Proof of payment Company detailsCompany name:*Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Telephone number:Fax:E-mail:* Web site: Contact person: First Last Company establishment date: Date Format: MM slash DD slash YYYY Staff number:Scope of the company:Company services (highlight the fields of activity) Consultancy Management & Finances Marketing & Promotion Human Resources Legal Consulting Education Electrical Engineering & IT Quality Standards Culture Economic Empowerment Trade Production Public Sector Bank institution If other (please describe):Other professional memberships:BCC Bank InformationMembership fees are transferred in our bank account at NLB Prishtina BankAccount number: 1700200100138883Yearly fee: EUR 50 – Start-Up MembershipDelivery date: Date Format: MM slash DD slash YYYY Contact person: First Last Signature:Please send your application form enclosed with required documentation in scanned form, through our e-mail address: info@bcc-ks.org or physically in our premises at: ‘’Mother Teresa’’, Prishtina – infront of Ministry of Culture, Youth and Sports, in the residential building near Vita Dent, with number 30/1, Ground Floor. *These information will remain confidential on behalf of BCC dossier