Publishers Plaza
Sarinkdijk 3
7255 MS Hengelo-Gld
The Netherlands
Tel. +31 (0)575 467 284
info@publishersplaza.com

Register as a member of Publishers Plaza

Name company/organization
Core-business/ activity
VAT-number *
Profile company/ organization

Family name
Title/initials
Position
E-mail address
Telephone number
Fax number
Postal address
Postal code/ City
Country **

	I have read the General Conditions of Publishers Plaza, understand these conditions and fully agree*** with the General Conditions of Publishers Plaza (please tick). The actual membership fee is € 30,00 per year.

* Even if no VAT-number has been stated we are obliged to calculate VAT to all companies and organizations registered in the Netherlands. If you want to mention Belgium or the Netherlands you might prefer to complete the Dutch registration form. * By clicking on General Conditions you will see the General Conditions of Publishers Plaza and have the options for filing or printing.