Application Form | AmCham Taichung

AmCham Taichung

Membership Application Form

Given name

Family name

Birthday

Month

Day

Year

Phone Number

Postal Address

Membership (One-time registration fee of NT$300 for new individual members and NT$500 for new members)

Individual (New) NT$4,200

Individual (Renewal) NT$4,000

Small or Medium Sized Enterprise (New) NT$8,500

Small or Medium Sized Enterprise (Renewal) NT$8,000

Cooperate (New) NT$15,500

Cooperate (Renewal) NT$15,000

Small/Medium Enterprise membership includes 3 individuals, while Corporate membership includes 5 individuals.

*One-time registration fee of NT$300 for new individual members and NT$500 for new members

Occupation

Company Name in Chinese

Company Name in English

Company Tax ID Number

Additional Member Names

Each SME member may nominate one voting representative member, plus two additional members, for a total of three members. If you are registering as a Corporate member, you may provide the names of up to four additional individuals who will be registered under your membership for a total of five members.

Brief Company Profile

Personal Introduction

《 AmCham Bank Account 》

Bank: Changhua Commercial Bank, Zhong-Gang Branch 彰化銀行中港分行

Bank Account No: (009) 9818-01-00216-5-00

Address: 臺中市美國商會 186, Wenxin Rd. Sec 1, 4F-1 / Tel：04-2471-8133 / Fax： 04-2471-5933

Thank you for submitting

Your AmCham Taichung membership will be valid for 12 months from the date your membership payment is received.

AMCHAM TAICHUNG ACCOUNT 台中市美國商會 9818-0100-2165-00

BANK Changhwa Commercial Bank, Zhong-Gang Branch 彰化銀行中港分行 ( 009 )

AmCham Taichung

Membership Application Form

Newsletter

Donate

Become a Member