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Thank You for your interest in becoming a member of Masyarakat Indonesia Anti Pemalsuan (MIAP). Please complete this form, attaching a copy of you organization's most recent audited financials. Please note that all requests for membership are subject to MIAP approval. If approved, you will be formally noticed and an invoice for membership fees will be issued to you.

We would like to join as a FULL MEMBER:

Designated Member:
Company:
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Alternate Member:
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Recent Audited Financial:
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Membership Guidelines:

Membership is open to any business operating in Indonesia
Members must be commmited to the group's mission and therefore not engage in any form of producing, purchasing or using counterfeit products.
Companies will have three (3) months to become fully compliant after which they may be asked to relinquis their membership if they fail to comply.

By submitting this signed application form, we agree to abide by the MIAP Membership Guidelines, and to the rights and responsibilities inherent in MIAP membership. If our application is approved for MIAP membership, we agree to pay MIAP within the time period stipulated.

I certify that I am authorized by the applicationt company to sign this form on its behalf.