• Membership applications Form

Company Profile:
1. Full Legal Company Name :
2. Company Address :
3. Telephone # :
4. Fax # :
5. E-Mail # :
6. Company Website :
7. Company's Date of Establishment :
8. Number of Employees at the Company :
9. Company Profile : (please write one paragraph describing your company, this will be used in Chamber's membership directory and posted on the website)
10. Business relationship with US companies: (If a Palestinian or a Palestine-based regional company, please state the relationship with the US company)
Company name :
State :
City :
Relationship :
11. Business Type : Agent Exporter Wholesaler Financial Broker Importer Not-for-Profit Contractor Manufacturer Services Distributor Consultant USAID Project
12. Business Sector:
13. Membership in other associations: (please list the associations your company is a member in)

Member Contact Information :
1. Name :
2. Title/ Position :
3. Date of Birth :
5. Fax # :
6. Mobile # :
7. Email Address :
8. Personal Assistant Name :
9. Personal Assistant Email :

Membership Category :
	General
	Associate
	Not-for- Profit Organization
	Affiliate
	Honorary

Additional Feedback :

1. Kindly list two references :

Full Name Full Name Position Position Company Company Telephone # Telephone # 2. Please state names and contacts of people that could benefit from the PACC services?

3. What are your expectations from joining the PACC?

Membership Requirements :

Your company profile, explaining all your products and services, and any other literature on your company that you think is appropriate A copy of your company's official registration/ certificates in Palestine or the US. The resume of the member and a copy of a personal ID Document / letter indicating affiliation with U.S. companies. (For general members only). Completed membership form. The amount required in US Dollars payable to: The Palestinian American Chamber of Commerce Note : This application will remain pending until above requested attachments are provided. All new applications are submitted for approval to the Board of Directors at their regular monthly meeting. THE INFORMATION PROVIDED WILL BE DEALT WITH STRICT CONFIDENTIALITY

Membership Guarantee :

I / We the undersigned wish to be affiliated with the Palestinian American Chamber of Commerce and agree to pay the current membership fees when due and to be bound by the articles of the Chamber. I / We declare that all the information given is correct and up-to-date, and will inform the Chamber of any changes in the above information if and when they occur. Date : dd/mm/yy format