IAA Benelux Membership Application

Welcome to the application process for membership with the Benelux Chapter of the International Advertising Association (IAA). By submitting this form, you affirm your thorough understanding of and unconditional acceptance of the IAA Benelux By Laws in their entirety. You hereby commit to embracing its guiding principles, aims, and objectives. Your membership will commence upon registration and payment of the membership fee and will be valid for 12 months from the date of enrollment.

Choose one

Corporate Plus Membership – Annual Membership Fee: €10,000 Corporate Membership – Annual Membership Fee: €5,000 Individual Membership – Annual Membership Fee: €500 Rising Leaders Membership – Annual Membership Fee: €150 Student Membership – Annual Membership Fee: €150

Date of application * Name * Company Legal Name * Company BTW ID Number * Address 1 * Address 2 City * Postal Code * Country * Phone * Email *

Names of two (2) supporting members:

Member 1 * Member 2 *

Term & Conditions
In order to complete your application for membership, please acknowledge the following:
– Admission is contingent upon approval by the Board of Directors.
– I agree to transfer the total membership fee to IAA Benelux directly after notice of membership approval.
– I consent to the processing of my personal data in accordance with the information provided pursuant to art. 13 GDPR 679/2016.
– I declare that I’ve read and understood the IAA Benelux Privacy Notice.
– I declare that I’ve read and accept the IAA Benelux Bylaws, sharing in its principles, aims and objectives.

I agree to the terms & conditions

Yes No