Membership Application Form

Company Name
Company's official name and incorporation form
American affiliation
Legal US Corporation (mother company)
Shareholding structure
Other (please explain)
Mailing Address
City
Street (& no.)
Zip Code
County/District
Trade Register Number
Fiscal code
Bank
Main Phone
Alternate Phone
Main FAX
Alternate FAX
E-mail
Web Page
IBAN (RON)
Preferred method of communication
Contacts
IT Manager: ()
   First name:    Last name:   
Title: Phone:    E-mail:
CEO Name: ()
   First name:    Last name:   
Title: Phone:    E-mail:
CFO Name: ()
   First name:    Last name:   
Title: Phone:    E-mail:
HR Name: ()
   First name:    Last name:   
Title: Phone:    E-mail:
MK Name: ()
   First name:    Last name:   
Title: Phone:    E-mail:
Sales: ()
   First name:    Last name:   
Title: Phone:    E-mail:
Corporate Affairs: ()
   First name:    Last name:   
Title: Phone:    E-mail:
LEGAL: ()
   First name:    Last name:   
Title: Phone:    E-mail:
Lawyer: ()
   First name:    Last name:   
Title: Phone:    E-mail:
PR Name: ()
   First name:    Last name:   
Title: Phone:    E-mail:
CEO Assistant: ()
   First name:    Last name:   
Title: Phone:    E-mail:
AmCham Contact (1) - The AmCham Contact is the person designated by the affiliated company to be the recipient of all AmCham-related correspondence and to assist the association in membership and activity-related issues.
If the AmCham Contact person is one of the above mentioned persons, check the "AmCham Contact" radio button next to him/her and leave these fields empty.
AmCham Contact Person: ()
   First name:    Last name:   
Title: Phone:    E-mail:
Business Field
Additional information
Year of Registration in Romania
Years of business activity in Romania
Total investment of your company in Romania (USD)
Number of employees worldwide
Number of employees in Romania
Type of Membership
- If the annual worldwide turnover of the company is over USD 5 mil
Annual fee: 6,600 RON    One time joining/rejoining fee: 330 RON
- if the annual worldwide turnover of the company is below USD 5 mil.
Annual fee: 2,310 RON    One time joining/rejoining fee: 330 RON
-
Annual fee: 1,000 RON    One time joining/rejoining fee: 330 RON
- if not affiliated with a company in Romania.
If you have checked this box, please explain how you qualify as an individual.
Annual fee: 1,300 RON    One time joining/rejoining fee: 330 RON
Please provide a 100 word introductory presentation of your company to be included in the American Business Net newsletter and published on the AmCham webpage.
AmCham Romania engages in various different types of activities to serve its members. Please indicate which of these activities are of most interest to you and feel free to make additional suggestions.
                    :
ALL QUESTIONS ARE MANDATORY! The application documentation will also include two current AmCham Romania member's support (expressed either by representative's signature and company's stamp in the marked field below or by separate recommendation letters/e-mails).

IMPORTANT! Please read the following statement

I would like to ask for my personal/company's data to be listed in the American Chamber of Commerce in Romania's database. I understand that only complete documentation - the filled-in membership application form and two support letters - will be processed for the Board's evaluation. The present application form, once approved by the AmCham Board of Directors, represents a binding agreement between the parties and I/my company become(s) a member of AmCham as soon as I/my company make(s) the payment of the membership fee.
 
  Send
U.S. Chamber of Commerce Foreign Commercial Service of the U.S. Embassy