SWISS LABEL INFORMATIQUE-XP - Com Consulting SA

SWISS LABELSociété pour la promotiondes produits et services suissesau moyen de l’ArbalèteDemande d’adhésion à Swiss LabelMembership application form for Swiss LabelÀ retourner à / To be returned to :Swiss LabelSchwarztorstrasse 26 - Case postale - CH-3001 BerneTél. : +41 (0)31 380 14 35Fax : +41 (0)31 380 14 15info@swisslabel.ch - www.swisslabel.chL’entreprise soussignée répond aux questions suivantes et demande son adhésion à Swiss LabelThe undersigned company’s responses to the questions below are as follows and it hereby requests membership of Swiss Label1. Nom de l’entreprise / Name of company__________________________________________________________________________________________________________________________Personne responsable / Head of company ________________________________________________________________________________________________________________________Adresse / Address ________________________________________________________________________________________________________________________________________________________NPA Localité / NPA Location ________________________________________________________________________________________________________________________________________Tél. : __________________________________________________ Fax : __________________________________________________ E-mail : ______________________________________________2. Où se trouve le siège de l’entreprise ? / Where are the company’s offices located ?__________________________________________________________________________________________________________________________________________________________________________________3. L’entreprise est-elle une succursale / une filiale d’une entreprise étrangère ?Is the company a branch / subsidiary of a foreign company ?❏ Oui / Yes❏ Non / No69Si oui de quelle entreprise ?If so, which company ?__________________________________________________________________________________________________________________________________________________________________________________4. Pour quels produits ou service l’entreprise désire-t-elle utiliser l’arbalète ?For which products or services does the company wish to use the Crossbow symbol ?Part suisse de la valeur totale / Swiss proportion of total value____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________5. Quel est son chiffre d’affaires avec les produits ou services mentionnés ? (n’indiquer que la catégorie)What is the turnover for the products or services stated ? (state category only)❏ Moins de 0,5 million CHF / leff than 0,5 million CHF ………………taxe annuelle / annual tax rate : 180 CHF❏ Jusqu’à 1 million CHF / up to 1 million CHF …………………………taxe annuelle / annual tax rate : 360 CHF❏ De 1 à 5 millions CHF / from 1 to 5 million CHF ……………………taxe annuelle / annual tax rate : 480 CHF❏ De 5 à 10 millions CHF / from 5 to 10 million CHF …………………taxe annuelle / annual tax rate : 720 CHF❏ De 10 à 50 millions CHF / from 10 to 50 million CHF ………………taxe annuelle / annual tax rate : 960 CHF❏ De 50 à 100 millions CHF / from 50 to 100 million CHF ……………taxe annuelle / annual tax rate : 1200 CHF❏ Plus de 100 millions CHF / more than 100 million CHF ……………taxe annuelle / annual tax rate : 1500 CHF minimumLieu et date / Place and dateTimbre et signature / Stamp and signature————————————————————————— —————————————————————————————————————————————————— —————————————————————————Swiss Label CHUV 2010