Membership Application Form

Required fields are denoted by *

Your Details
Title
First Name*  
Surname*  
Position
Email*
Phone*  
Password  
Please note

The named individual receives all Chamber communications and is the contact person between the Chamber and the Company

Once membership has been approved you will be able to add an additional three alternate members
Company Details
Company / Organisation*  
Street Address*  
Town (or City Code)*  
County*  
Region
Secondary Region
Phone Number*
Fax Number
Email Address*
Website
CEO / MD (Ireland)
Finance
HR
Sales & Marketing
Operations / Plant
Description of Business
Description


Description

Location of HQ
(US Companies Only)
Name and address of American parent company or American connection (if applicable)
Sector
Activities


Year arrived in Ireland
Number Employed
Data Protection Act 1988

The above information will be kept on a database for an indefinite period, & your details may be visible online to other members. We may use this information to contact you about services which we think will be of interest to you. You hereby give the American Chamber of Commerce consent to store and use the above information for these purposes.
We hereby apply to the Board of Directors of the American Chamber of Commerce Ireland for Corporate / Individual Membership of the Chamber
Name*  
Position*  
 


The American Chamber of Commerce Ireland is a private limited company and registered in Ireland
Registered No. 18926. Registered

©2010 American Chamber of Commerce Ireland - 6 Wilton Place, Dublin 2, Ireland.


tel 353 1 6616201 fax 353 1 6616217 email info@amcham.ie
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