Application Form – Американская торговая палата в Кыргызской Республике

AmCham Membership Application
AmCham of the Kyrgyz Republic is excited by your organization’s interest in becoming a member. Your organization will be joining a group of over 80 large, medium, and small enterprises form all sectors of the Kyrgyz economy. This form seeks to obtain company and company leadership information in order to best communicate new updates and the status of your application.

We look forward to an effective partnership and collaboration with your organization.

Name of the organization:

What country is your organization based in?

Date

What industry is your organization in?

Organization Email:

Organization Phone Number:

Address of organization: Link to organization website: Brief information about the organization’s activities in Kyrgyzstan (3-4 sentences) Head of the Organization's Full Name:

Head of the Organization's Email:

Head of the Organization's Phone Number:

Deputy Head of the Organization's Full name:

Deputy Head of the Organization's Email

Deputy Head of the Organization's Phone Number:

Name of person to be listed on AmCham mailing subscription (up to 3 individuals): Positions of person for mailing subscription (аs listed above):

Emails for Individuals listed above:

Phone Numbers for Individuals listed above:

Selection of Membership Type
AmCham recommends that organizations with a higher annual revenue select higher categories.
Please select the membership category most appropriate for your organization: Platinum (175,000 KGS)Gold (100,000 KGS)Silver (75,000 KGS)Non-profit (50,000 KGS) Your message (not required) I give my consent to the processing of my personal data.

Американская торговая палата в КР

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