Membership form

 

Membership form HH Panama

"*" indicates required fields

Name*
Sex*
DD slash MM slash YYYY
Email adress*
Company Adress*
How did you hear about us?*
To be eligible for Holland House membership, companies or individuals are required to have a clear & strong business relationship with the Netherlands (or Curacao, Aruba, Sint Maarten): e.g companies with dutch ownership or capital, a distributor, representative or agent of Dutch goods and/or services and Panamanian export companies of goods & services to the Netherlands.
Does your company currently do business in/with Panama or the Netherlands?*
Does your company currently have an office in Panama or Latin America?*
Which (potential) services are you interested in?*