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All fields in bold are mandatory.
First Name
Last Name
Job Title
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Account Executive
Account Manager
Administrative Assistant
Art Director
Awards Show Coordinator
Awards Manager
Copywriter
Creative
Creative Assistant
Creative Coordinator
Creative Director
Creative Services Manager
Designer
Director
Educator
General Manager
Intern
Media Relations
Office Manager
Photographer
President
Producer
Production Manager
Public Relations Director
Sound Designer
Student
Other
Job Title Other
Email Address
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Personal Code
This field is mandatory for Creative Belgium members. If you do not fill in a legitimate member code here, you will not benefit from the member discount on your entries.
Company Name
Company Website
Company Address
Company Address 2
Company City
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Belgium
Telephone
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VAT/TAX ID Number
e.g. BE0632731889 or 'NA' if not applicable
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