AMCHAMTZ MEMBERSHIP APPLICATION FORMP.O. BOX 12220, Oyster Pearl Galleria, 1st Floor, Plot 370, Chole Road, Off Toure Drive Email: ed@amcham-tz.com Phone: +255 786 0800 60 Website: www.amcham-tz.com Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Member category at AmCham: *Platinum ($5000 / year)Gold ($3000 / year)Silver ($1000 / year)Bronze ($500 / year)Individual ($300 / year)Business Type * U.S. CompanyNon U.S CompanyName *FirstLastCompany Name: *Address Line 1 *Address Line 2LayoutCityPostal Code (ZIP Code)State / Province / RegionCountryPhone *Business Email *EmailConfirm Email Email Address *EmailConfirm EmailThis will be published in AmCham Tanzania directory for any general inquiry to the companyI would like to receive all AmCham correspondence by: *EmailWhatsAppBothName of Personal Assistant:Email of Personal Assistant:Personal InformationNationality: *How many years have you been in Tanzania? (if applicable):Date of Birth *DD/MM/YYYYMobile Number: * optional, will be used only in emergenciesMembership in other associations: (1)Membership in other associations: (2)Membership in other associations: (3)Business Sector *Agri-BusinessConstruction & InfrastructureAutomotive & mobilityLegal ServicesLogisticsEducation & TrainingOil & GazFMCG & RetailFinancial Services & InvestmentHealthcareTechInsuranceHospitality, Tourism & TravelMedia & PublishingEnergyAudit & AccountingManufacturingOtherCompany's country of origin *US company (Headquarters in the USA)Tanzania company founded by a US nationalTanzania companyForeign company (neither Tanzanian nor US)Company revenue ($) in 2023 locally *Company revenue ($) in 2022 locally *Short description of the company to add on social media page and directoryPlease upload your profile photo and your company logo * Click or drag files to this area to upload. You can upload up to 2 files. WorkforceWorkforceNumber of expatriates in Tanzania *Number of local employees in Tanzania *Main ContactMain contactName *FirstLastEmail *Position *Phone *CEO / Managing DirectorCEO / Managing DirectorName *FirstLastEmail *Phone *CFOCFOName *FirstLastEmail *Phone *HR ManagerHR ManagerName *FirstLastEmail *Phone *HSE ManagerHSE ManagerName *FirstLastEmail *Phone *Sales ManagerSales ManagerName *FirstLastEmail *Phone *Communication / Marketing ManagerCommunication/ Marketing ManagerName *FirstLastEmail *Phone * Preferred social media channel / Your account (username/email)Preferred social media channel/Your account (username/email)Facebook:Twitter:LinkedIn:How did you find about the AMCHAM? *Why do you want to join the AMCHAM? *Do you agree to be added to the AMCHAM mailing list to receive newsletters and other publications from the Chamber? *YesNoDo you agree to have your contact details in the AMCHAM directory? *YesNoIf you have suggestions for potential members to join AMCHAM, please provide their website addresses or contact details.Please mark the areas of interest at AMCHAM TanzaniaPlease mark the areas of interest at AmCham Tanzania:NetworkingAmCham Tanzania EventsAdvocacyAmCham Tanzania CommitteesAmCham Tanzania Strategic EngagementInformationInvestment InquiriesExport InquiriesBusiness EnvironmentExposureEvents SponsorshipAmCham Tanzania WebsiteAmCham Tanzania DirectoryAmCham Tanzania Social Media PlatformsPartnership OpportunitiesBusiness MatchmakingCareer EnhancementInternational Professional CertificationsTraining WorkshopsRecruitment ServicesEmployment FairPlease Confirm by filling the information below-: The information you are about to submit is true to the best of your knowledgeBirth Date *DD/MM/YYYYName *FirstLastSignature *Please retype your name for the signatureLayoutSubmit
