Member Application Form

Applications will only be considered if fully completed and accompanied by a Company Profile and a letter of recommendation from the AmCham proposer and seconder. Once form is completed and submitted please contact Sonelle Gibson at the AmCham secretariat (622-4466/0340,628-2508).

	Printable Version
Name (Company or Individual):
Address:
Tel:	Fax No:
Web Site:
Email:
Is the company U.S. owned?	Yes No If yes, what percentage?:
Do you trade with the U.S.?	Yes No
Do you have interest in U.S./TT Trade or investment?	Yes No If yes, in what area:
Do you provide services to Amcham members?	Yes No If yes, please state:
Date Company Established:
Corporate Status:	Sole Proprietor Partnership Private Public Other If other, please specify:
Company Size :	(gross receipts TT$) No of Employees:
Products / Services offered:

List your Company's principal Executives to be represented on the Amcham Database:

Name :	Position :	Email :	Direct Tel. & Fax:

(If different from above, please fill out below)

Chief Executive Officer:	Email:
Chief Financial Officer:	Email:
Contact information for monthly mail packages and other notices:
Contact Name:	Fax: Email:

Bankers:

AMCHAM PROPOSER:	(Please Print)	AMCHAM SECONDER:	(Please Print)
Name:		Name:
Position:		Position:
Company:		Company:
Signature:		Signature:
(The Proposer and Seconder must be one of the principal representatives of an AmCham financial member company).
(IS THE COMPANY A MEMBER OF ANY OTHER BUSINESS ORGANISATION:	Yes No
	Please State:
	TTMA T&T Chamber South Chamber ECA Other

Please tick if interested in signing up company representatives to any of the following committees:

AmCham Committees & Terms of Reference:

Health, Safety & Environmental Committee (H.S.E.) To provide direction and leadership and proactively promote safety, health and environmental values for the sustainable future of our companies, communities and nation.
Trade and Investment Committee To create a forum for providing a global business perspective
Legislative Committee To monitor development in the government’s legislative agenda and influence draft legislation to support AmCham’s strategic goals. To provide guidance and advice to Members on matters that affect trade and investment in Trinidad and Tobago
Programmes and Events Committee To anticipate and facilitate the efforts of AmCham and its committees towards providing a diverse range of value-added programmes and events to promote and build business for member companies.
Membership Committee To be exemplary Ambassadors for AmCham. To sustain and improve the image of the chamber as proactive, energetic and vibrant, by continuing to attract the highest quality members and by encouraging existing members to participate in AmCham activities
Communications Committee To provide in a timely manner key and quality information to AmCham members, to assure them a competitive edge in the global market.
Overseas Security Advisory Council (OSAC) To encourage American investment abroad by facilitating a dynamic exchange of information which can be used to make informed corporate decisions on how best to protect assets in an increasingly competitive and global economy.

COMPANY REPRESENTATIVES IN AMCHAM COMMITTEES WILL BE:
(These can be alternates to principal execs)

Exe 1:

Position :

Email :

Exe 1:

Position :

Email :

Exe 1:

Position :

Email :

Date :

Company's Stamp :

I declare that the information on (Company’s Name) is true and correct.

MEMBERS’ DECLARATION:
If this application is approved, we agree to accept the Articles of Association, Rules, Regulations and Objectives of the American Chamber of Commerce of Trinidad and Tobago. We will support the goals and activities and agree to pay all dues and fees promptly.

Name in Capitals

Position

Signature

AmCham’s Contact:

Sonelle Gibson:
Tel: (868) 622-0340/4466; 628-2508,
Fax: (868) 628-9428
Email: members@amchamtt.com

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Member of the Association of American Chambers of Commerce of Latin American (AACCLA) and COCUSA.