Form for a natural person

fiziniai asmenys

Name

Surname

Phone number

Email address

Address of residence

Primary workplace, job title

Field(s) of activity

Are you currently working in quantum technologies?

Yes

Kokiose kvantinių technologijų srityse dirbate?

Kokios yra pagrindinės priežastys, kodėl domitės kvantinėmis technologijomis?

How do you expect to benefit from being a member of the Lithuanian Quantum Technologies Association?

What contribution could you make to the Association? (e.g. knowledge, infrastructure, training)

Are there any specific projects, initiatives or events you would like to actively participate in?

Do you have any suggestions or ideas on how we can expand and strengthen the Lithuanian quantum technology community?

Is there anything you would like to add or complement about yourself or your interest in quantum technologies?

I would like join the Lithuanian Quantum Technologies Association. I wish to become an Associate Member of the Association.

We agree to comply with the requirements of the Statutes of the Association.

I agree to pay the entry fee to the Association's bank account as soon as the Association's Board approves my membership.

I consent to the use of the data I have provided for the purposes set out in the Privacy Policy.