Membership Form

Membership
1/4
I / we, the undersigned, hereby apply for membership in the American Chamber of Commerce in Austria
and agree, if accepted, to be bound by its by-laws (www.amcham.at) and to pay the annual dues.
Membership Categories
Please indicate your membership category (check one)
Gold Membership (> 500 empl.) € 1.370,--
Silver Membership (<500 empl.) € 735,--
Bronze Membership / individual (<50 empl.) € 460,--
Membership starts following receipt of your membership dues on your account.
Name of company or individual
_____________________________________________________________________________________________________________________
Alphabetical listing in membership directory (Yearbook) under letter ______________________________________________
Address ____________________________________________________________________________________________________________
Telephone ________________________________
Telefax _____________________________________________________
E-Mail ____________________________________
Website ____________________________________________________
Invoice Address (if different to regular address)_____________________________________________________________________
_____________________________________________________________________________________________________________________
Number of employees ____________________
Sales __________________ Founded in year ________________
Name of Chief Executive Officer __________________________________________________________________________________
Job Title _________________________________
Amerikanische
Handelskammer
in Österreich
A-1090 Wien
Porzellangasse 39/7
T + 43 1 319 57 51
F + 43 1 319 57 51-15
E [email protected]
www.amcham.at
UniCredit Bank Austria AG
IBAN AT461100000201057700
DVR. 0056162
UID-Nr. ATU 37675208
ZVZ 848515212
Citizenship _________________________________________________
Member of the Chamber of Commerce of the United States of America, Washington D.C | Member of the European Council of American Chambers of Commerce
Membership (Nr of Employees) Dues p.a.
Contact Person
1/4
Additional contact persons for AmCham Austria
Academic Title __________________________________
Full Name ___________________________________
Position _________________________________________
Division:CEOMarketingHRITFinance
Other ___________________________
Citizenship
__________________________________
Gender _______________________________________
Fax__________________________________Email
________________________________________
The person wants to receive the following:
Invitationsmonthly Newsletter
Contact Person for AmCham Austria
Academic Title __________________________________
Full Name ___________________________________
Position _________________________________________
Division:CEOMarketingHRITFinance
Other ___________________________
Citizenship
__________________________________
Gender _______________________________________
Phone__________________________________Mobile
_______________________________________
Fax__________________________________Email
________________________________________
The person wants to receive the following:
Invitationsmonthly Newsletter
Amerikanische
Handelskammer
in Österreich
A-1090 Wien
Porzellangasse 39/7
T + 43 1 319 57 51
F + 43 1 319 57 51-15
E [email protected]
www.amcham.at
UniCredit Bank Austria AG
IBAN AT461100000201057700
DVR. 0056162
UID-Nr. ATU 37675208
ZVZ 848515212
Member of the Chamber of Commerce of the United States of America, Washington D.C | Member of the European Council of American Chambers of Commerce
Phone__________________________________Mobile
_______________________________________
Comapny Listing
3/4
(1) Advertising, PR, Communication, Marketing
(2) Automotive
(3) Banking & Financial Services
(4) Business & Investment Development
(5) Chemicals & Chemical Products
(6) Consumer Goods
(7) Education | Training | Coaching | Research
(8) Food & Beverage
(9) Health Care, Pharmaceuticals, Cosmetics & Drugs
(10) Human Resources | Recruiting & Executive Search
(11) Individual Member
(12) Insurance
(13) IT (Soft- & Hardware, Computer Services, Internet Services)
(14) Legal Services
(15) Manufacturing, Machinery & Equipment
(16) Management & Consulting
(17) Others
(18) Print Media, Publisher
(19) Real Estate
(20) Telecommunication, Internet Provider
(21) Tourism
(22) Transport, Logistic & Relocation Services
Amerikanische
Handelskammer
in Österreich
A-1090 Wien
Porzellangasse 39/7
T + 43 1 319 57 51
F + 43 1 319 57 51-15
E [email protected]
www.amcham.at
UniCredit Bank Austria AG
IBAN AT461100000201057700
DVR. 0056162
UID-Nr. ATU 37675208
ZVZ 848515212
Member of the Chamber of Commerce of the United States of America, Washington D.C | Member of the European Council of American Chambers of Commerce
Please choose ONE of the following branches:
U.S. Relations
4/4
Business Relationship with the United States (if applicable)
Our company has direct business relations with the USA
Yes No
Different relation with the USA:
______________________________________________________________________________________________________________________________
Data of the U.S. company
Name of the company
___________________________________________________________________________________________________________________
Address __________________________________________________________________________________________________________
Telephone ___________________________________
Founded in (year) ________________________________________
Telefax ______________________________________
Number of employees ____________________________________
E-Mail _______________________________________
Website __________________________________________________
Name of Chief Executive Officer _________________________________________________________________________________
Job Title ____________________________________
Citizenship _______________________________________________
Date ________________________________________
Signature ________________________________________________
Amerikanische
Handelskammer
in Österreich
Data of the company
A-1090 Wien
Porzellangasse 39/7
Our company is active in Cental Eastern Europe
T + 43 1 319 57 51
F + 43 1 319 57 51-15
E [email protected]
www.amcham.at
UniCredit Bank Austria AG
IBAN AT461100000201057700
DVR. 0056162
UID-Nr. ATU 37675208
ZVZ 848515212
Yes
No
Member of the Chamber of Commerce of the United States of America, Washington D.C | Member of the European Council of American Chambers of Commerce
Our company is Our company has
an Austrian Subsidiary of
Subsidiary(ies) in the USA
an Austrian Representative of
Representation(s) in the USA
Other Other