© 2003 JPSCORKgroup
* Denotes compulsory fields.
Registration in individual name
Personal Data
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Name:
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Address:
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Postcode:
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Town/City:
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Country:
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Telephone.:
Fax:
e-mail:
URL:
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Age:
Profession:
Field of activity:
Please select all options that apply to your case
:
I work or have worked for a company that distributes cork products.
I work or have worked for a wine-bottling company.
I work or have worked for a company that distributes products linked to the wine industry
(corks, barrels, filters, bottles, labels, bottling machines, etc)
I live in a zone where there are many companies with potential interest in cork products.
I have already visited at least one company that produces cork products.
Observations: