* Your name

* Your title

* Your company

* Address

* Phone

* Fax

* Email

* Please indicate your membership category * Please indicate your membership category Seed potato trader Packer / Ware potato trader Associated member National association

* Contribution criterium (Trading volume in 1000 MT) & Annual fee * Contribution criterium (Trading volume in 1000 MT) & Annual fee < 25: 1185 € 25 - 100: 2961 € 100 - 250: 4738 € > 250: 7107 €

* Contribution criterium (Trading volume in 1000 MT) & Annual fee * Contribution criterium (Trading volume in 1000 MT) & Annual fee < 25: 1185 € 25 - 100: 2961 € 100 - 250: 3850 € > 250: 4738 €

Associated member Associated member 2369 €

* Country production (min MT) * Country production (min MT) < 0,5: 1185 € non-EU countries: 2369 € 0,5-1: 2961 € 1-3: 5330 € >3: 8292 €

* Please indicate the activity field of the company: * Please indicate the activity field of the company: Seed potatoes Early potatoes Ware potatoes Packer Broker/Trader Others

Other activity fields

* Europatat statutes * Europatat statutes I took note of the Europatat statutes

National association membership National association membership the company is member of a national association