Registration Form     



Please read the instructions:
  1. Fill all fields below
  2. Attach to the application the Social Contract
  3. Attach the card CNPJ

Company name :
Address:
Postal code: City:
Country:
Contact number :
E-mail : Web site:
Activities :
Numbers of employees in Brazil: : Total numbers of employees:
Total profit : Profit in Brazil:


BRANCH

Director:
E-mail:
City: Country:
Director:
E-mail:
City: Country:
PRODUCTS/SERVICES :
Which activity/product would you intent do ratify? :
Is this company member of any other association? Which one?



MAIN CONTACTS WITH ABRID

Public relations/Press Advisor:
Position:
E-mail:
Contact number :
 
Financial sector:
Position:
E-mail:
Contact number :
 
Commercial sector:
Position:
E-mail:
Contact number :
 
Administrative sector:
Position:
E-mail:
Contact number :


DIRECTION

Number of members: Election date:
Name: Passport number:
Position: Beginning of mandate/Ending of mandate:
Name: Passport number:
Position: Beginning of mandate/Ending of mandate:


STATEMENT OF RESPONSIBILITY

Name of the declarant:
Position:
Contact number:


CLSW 105 - bl. A - salas 104 a 106 / Sudoeste - Brasília-DF - 70670-431 - (61) 3234.6282