Membership Form - Kampala

NCR Building, Plot No 94 Williams Street P.O.Box 2109 Kampala, Uganda
Tel: +256 312351700 / 414351700
Email: [email protected]
www.AmChamUganda.co.ug
www.facebook.com/amchamUganda
2016 Application for Membership to the
American Chamber of Commerce of Uganda
I hereby apply for: (Please tick as appropriate, see attached for fee and benefit details)
President’s Club
☐ Resident
Business
☐ Resident
Individual
☐ NGO / Non-Profit
Vice-President’s
Club
☐ Non-resident
Business
☐ Diaspora
Individual
☐
Company Information
(if Business or NGO / Non-Profit application)
Name of Company
Industry
Physical Address of Company (include
house number, street name, suburb,
city and other information or landmark)
P.O. Box and City
Company Phone
Company Website
Company Social Media Links
☐
NCR Building, Plot No 94 Williams Street P.O.Box 2109 Kampala, Uganda
Tel: +256 312351700 / 414351700
Email: [email protected]
www.AmChamUganda.co.ug
www.facebook.com/amchamUganda
Primary Contact Information
(or Individual information)
Primary Contact Full Name
Contact’s Role in Company (if
applicable)
Physical Address of Individual (include
house number, street name, suburb,
city and other information or landmark)
P.O. Box and City
Mobile Phone #1
Mobile Phone #2
Email Address
Whatsapp #
Occupation
Authorized Signature
_______________________________________
Date
______________________________
Please forward your completed application form together with a cheque for your annual dues and a
passport photograph for your membership card to: American Chamber of Commerce of Uganda.
Please attach your business card.
NCR Building, Plot No 94 Williams Street P.O.Box 2109 Kampala, Uganda
Tel: +256 312351700 / 414351700
Email: [email protected]
www.AmChamUganda.co.ug
www.facebook.com/amchamUganda
Membership Options
President’s Club
Membership Fees: USD 2,000 per annum

Limited to 5 Resident Business members
Vice-President’s Club
Membership Fees: USD 2,000 per annum

Resident Business
Membership Fees: USD 750 per annum
Companies operating in Uganda as:



First right to upgrade to President’s Club
Non-Resident Business
Membership Fees: USD 900 per annum

US Companies not licensed to operate in Uganda
Subsidiaries, agents or representatives of US
companies
Ugandan companies with American equity
Uganda companies with significant business
relationships with the US
Individual Resident
Individual Non-Resident & Diaspora
Membership Fees: USD 250 per annum
Membership Fees: USD 250 per annum
Individuals residing in Uganda who are also:
Individuals residing outside Uganda who are also:


American citizens with business interests in Uganda
Uganda citizens with US business interests


Non-Profit / NGO
Membership Fees: USD 150 per annum
Non-Profits and NGOs operating in Uganda as:


US 501(c)3 registered non-profits working in
Uganda
Non-profits and NGOs legally registered as such
under Ugandan law
Uganda citizens with US business interests in
Uganda
American citizens or residents with business
interests in Uganda
Executive Membership Add-on
Membership Fees: USD 200 per annum

Allows Resident or Non-Resident Businesses to
increase the number of members included in their
membership
NCR Building, Plot No 94 Williams Street P.O.Box 2109 Kampala, Uganda
Tel: +256 312351700 / 414351700
Email: [email protected]
www.AmChamUganda.co.ug
www.facebook.com/amchamUganda
Membership Benefits
President's
Club
Membership Fee per annum
Number of membership included
Access to the Business Visa Appointment Program
with the US Mission to Uganda
Invitation to exclusive events
Company logo on AmCham stationary
Access to AmCham member mailing list
First right to upgrade to President's Club when
available
Brand one CEO breakfast event
Brand one networking event
Advertisement on Website
Road map and legal framework for establishing a
business
Logo on website
Recognition in Quarterly Newsletter
First sponsorship opportunity for high profile events
Eligible to sponsor Executive Member (additional
membership)
Tickets to 4th of July celebration
Tickets to Thanksgiving Dinner
Vouchers for free access to networking/CEO
breakfast events
Member rates for networking/CEO breakfast, and
other events
Included on the mailing list
Access to Member Reward Program
Standard Membership Card
Premium Membership Card
Access to member-only events
Provide input for International Business Advisory
Forum
$2,000
5
VicePresident's
Club
$1,500
4
Resident
Business
$750
2
NonResident
Business
$900
2
Individual
Resident
$250
1
Diaspora &
Individual
Non-Resident
$250
1
NonProfit /
NGO
$150
1
Executive
Membership
Add-on
$200
1
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