Full Name of the company or individual Number of Employees 1-5 Employees6-50 Employees6-50 Employees Company Invoice Details: Address Authorized Person (МОЛ) Email Address Website ID(Булстат) Industry Sector VAT (ДДС) № Telephone How were you introduced to AI CLUSTER BULGARIA? Board MemberMemberManagementOther What are your expectations from your membership in AI CLUSTER BULGARIA? Membership Category Applied Individuals (200 BGN)Academia (200 BGN)Institute (1000 BGN)Startup (300 BGN)Small enterprise (500 BGN)Medium enterprise (1500 BGN)Corporation (2500 BGN) The annual membership fee entitles you to membership of the AI Cluster for the coming 12 months. Following application successful new members are sent formal letters of acceptance. Applicants for membership are kindly requested to make payment upon receipt of the formal letter of acceptance. Membership becomes effective after payment of the initial membership dues, and the membership start date is the date of the invoice for successful payment. Renewal is due every 12 months’ from that date. By signing/submitting this application, the applicant confirms that it is aware of all legal rights and obligations associated with membership in the AI CLUSTER BULGARIA. Members shall aim to fulfil the purposes of the Cluster, and shall fully comply with the requirements of the Statutes of the AI CLUSTER BULGARIA. Full name & Title Date