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Registration request for ERCA members Area
Fields with asterisk (*) required.
Your Name*
Company Name
Your Email Address*
Membership No.*
Type of Account*	I am listed as main contact of my company and would like to be administrator of our members main account. I am a staff member and would like to create my own private account.
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I agree that my data will be stored permanently in order to process my request and for being contacted for any later queries. *
Please note: You can revoke your consent by e-mailing info@erca.cc at any time and with future effect. Further information about handling user data, can be found in the data protection declaration of ERCA e.V. you are submitting this request to and in the data protection declaration of DW-Formmailerwho is hosting this online form service.