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Membership Application
 


Definition of membership categories and fees

Company Contact Information

Note: Fields in Red Color are mandatory.


Company Name:
Complete Address:
P.O. Box :
Telephone Number (1): ( Ex. 202 3338-1050 )
Telephone Number ( 2 ):
Telephone Number ( 3 ):
Fax Number: ( Ex. 202 3338-1050 )
Mobile Number: ( Ex. 2012 3338-1050 )
E-Mail:
(Ex. name@domain.com)
Web Site:
(Ex. www.site.com)
Number of Employees:
I would like to receive all AMCHAM correspondence by:
  E-Mail Fax Both
Describe company activity : (Not more than FIFTY words)
 
If U.S., which state is considered your 'HOME' state, I.E. Base of operations, Headquarters in the United States?
City:
State:
If Egyptian, Please state name & Address of U.S. company your company is affiliated with:
Company name :
City:
State:
Please indicate membership category for which you are applying.
Definition of membership categories:
 

 

  

 
   
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