EIT MANUFACTURING PLAZA REGISTRATION

FILL IN THE EMAIL ADDRESS OF THE PERSON YOU WANT TO REGISTER
Email Address Required The email address should match with your organization official domain. You cannot register with a private email address.
I agree with the privacy statement Required With this registration I agree to the following:

EIT Manufacturing will only use personal information for the purpose of accessing and operating the EIT Manufacturing Plaza
FILL IN THE PERSONAL AND CONTACT DATA
First Name Required
Last Name Required
Initials Required
Prefix (van der, de , le , la)
Titles
Suffix (Msc, Bacc, PhD)
Gender Required
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Organization Required
Department
Your Job Title Required
Email Address Required
Phone number (+31 123456789) Required
Cell Phone (+31 123456789) Required
Post Address Required
Postal Code Required
City Required
Country Required
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My Visit Address is the same as my Post Address
Visit Address Required
Postal Code Required
City Required
Country Required
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CONFIRM THIS REGISTRATION TO PROCESS THE DATA
Why do you want to become a EIT Manufacturing Plaza memberRequiredPlease explain briefly why you want to become an EIT Manufacturing Plaza member.

Partner ReferenceRequiredPlease enter the name of the partner you are related to. This should match with the email address you have provided. If you want to become a member by invitation please enter the contact details of the responsible person at one of our partners. Include name and email address. So we are able to contact this person for clearance.

Partner Master ContactRequired
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Please indicate if you are the nominated Partner Master Contact for your organisation

Remarks

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Email Address
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