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 X X X X X X X X X X X X X X X X X X X X X X X X X 10 tickets 6 tickets 5 tickets for one event 12 6 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
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