Application Form

- Download Member Application

Corporate A	Annual worldwide revenue in excess of 2 million USD
Corporate B	Annual worldwide revenue in excess of 500,000 USD
Corporate C	Annual worldwide revenue less than 500,000 USD
Non-Profit	Not-for-profit organizations

1. Please indicate the category of membership for which you are applying:

Corporate A	- 90 000 soms

Corporate B	- 45 000 soms

Corporate C	- 25 000 soms

Non-Profit	- 15 000 soms

2. I/we agree, if accepted, to be bound by the Chamber's rules and regulations, and to pay the appropriate annual dues:

Company Name:
Address:
Telephone:

Fax:

Company General Email:
Head of Firm in Kyrgyz Republic
Name:

Position:

Assigned Company Representatives to the American Chamber of Commerce
(see below for number of reps. permitted for each membership category)**

Name and Title		Email Address

** Corporate membership entitles a company to delegate from 1 to 3 individuals as AmCham voting members (depends of Corporate).
The number of persons from each company participating in committees, working groups, forums, business roundtables, and social events is usually not limited.

3. Type of Company in the Kyrgyz Republic

Industry:

Number of Employees:

Brief Description of Activity:

Addresses of Branches and other offices in the Kyrgyz Republic: