MEMBERSHIP APPLICATION FORM

Please complete this form to apply for membership to GC3 Philippines.

We hereby propose admission to the Global In-House Center Council (GC3) Philippines, Inc.

Member / Company Name *Business Address *LandlineWebsite

Headquarters Location *

Primary Representative

Name and Corporate Title *Mobile *Email *Landline

Executive Assistant *Mobile *Email *Landline

Alternative Representative

Name and Corporate Title *Mobile *Email *Landline

, hereby certify that the information provided in this form is true and correct; that I am duly authorized to become a member of the Global In-House Center Council (GICC) Philippines Inc.; and if duly admitted, that by affixing my signature, I to abide by the Rules and Regulations of the Association.

FOR OFFICIAL USE ONLY

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