Application for Data Quality Membership

The undersigned hereby registers for a Data Quality Membership of GS1 Netherlands. The participant uses a different data pool than GS1 Data Source and wants to be involved in the data quality program.

Company data
Please only fill out an invoicing/postal adress if it is different from the visiting adress.
Enclose an extract from the Chamber of Commerce.
Contact data
The contact person is the person who will act as the point of contact of GS1 Netherlands
Signature
The undersigned hereby applies as GS1 Netherlands Special Relation and acknowledges to have read the Data Quality Membership conditions below and agrees to comply with these at all times. Should you have any questions concerning this form, please contact our customer support at +31 (0)20 511 38 88 or info@gs1.nl. Personal information undersigned (undersigned is required to be legally authorized).

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