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Corporate Membership Registration Form

Company Information

*Company Name :
*Address 1 :
Address 2 :
*Country :
*Postal Code :
*Phone # :
Fax # :
*Company Website :
Type of Industry :
 Aerospace   Automotive 
 Building & Construction   Chemical & Pharmaceutical 
 Consultancy   Education & Training 
 Electrical & Electronics   Factory Automation 
 Finance   Food & Beverages 
 Hospitality   Information Automation 
 Institution of Higher Learning/Associations/Government Agency   Mobile & Wireless 
 Oil & Gas   Precision Engineering 
 Power/Renewal Energy   Research and Development 
 Retail   Semi-conductor 
 Supply Chain and Logistics   Telecommunications 
Other Industry (please specify) :
Company Profile :
*Company Gross Revenue/Turnover S$ :
Promotion Code (if any) :



Company Representative

Salutation :
*Full Name :
*Designation :
Department/Function :
*Address :
*Postal Code :
*Country :
*Phone # :
Fax # :
Mobile Phone # :
*Email :

I/ We are aware that data collected by  SIAA will be used by the association to send me/us communications relating to SIAA membership matters. I/We understand that on occasion, you may send notices relating to events/activities, services/products, announcements, promotions, contests or newsletters from SIAA  and/or third parties via electronic mail, mobile phone text messages and/or mailers. I/We will not hold the Association liable for any loss or damage as a result of our participation in their activities and services on account of any negligence, misconduct or any cause of action howsoever arising. 

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