CORPORATE MEMBERSHIP - REGISTRATIONFORM

Member as:

Company Name:

Contact:

Language (prefered)

BANC-DETAILS for direct debit (only within Spain)

Mobile Phone:

Phone:

E-mail:

Country / Region:

Nr.:

Postal Code:

POSTAL ADDRESS:

Town:

Street:

Our Banc Details for transfers are: Unicaja Ctra. Nacional 340 km 144 Edif. Bali 29692 Sabinillas Málaga ACOUNT NR: 2103 1102 36 0030006578 IBAN-CODE: ES 25 2103 1102 36 0030006578 BIC/SWIFT-CODE: UCJAES2M

Monthly 20€

Yearly 240€

The members contribution can be paid monthly or for the complete year, by direct debit or banc transfer.

CIF (tax) Nr:

We confirm to give a 10% discount to all members of Planeta Animal, on all products we sell.