Members Registration

Please make sure all fields marked with a star have been filled out.

Company Information

* Name:
* E-Mail:
Website:	Format: http(s)://(www.)mywebsite.com(/)
* Address:
* Phone:
Fax:
* Industry:
Tagline:
Brief Information:	This information will appear in the Membership Directory if your membership is accepted.
Logo:	Make sure the file you are uploading is in JPEG format and is not larger than 1 MB.
* Certification:	[Preview] Please upload Registration Certification from MinJust of Azerbaijan and make sure it is in JPEG format and is not larger than 1 MB.

US Parent Company Information

Name:
Address:
Phone:	US Format: xxx-xxx-xxxx, or: (xxx) xxx-xxxx
Fax:	US Format: xxx-xxx-xxxx, or: (xxx) xxx-xxxx

Representative Information

* Full Name:
* Title:
* E-Mail:
* Phone:

Membership Details

* Membership Type:

Regular (2500.00AZN)
Associate (1250.00AZN)

Acceptance E-Mail Editor

Dear {Representative Name},

Please login to our system using the credentials below.

Username: {Representative Username}
Password: {Representative Password}

Thank you for joining the chamber!

Nargiz Nasrullayeva-Muduroglu
Executive Director
AmCham Azerbaijan

Landmark Building
96 Nizami street
AZ1010-Baku, Azerbaijan
Tel. +99412 497 1333
Fax. +99412 497 1091
www.amchamaz.org

Rejection E-Mail Editor

Dear {Representative Name},

Nargiz Nasrullayeva-Muduroglu
Executive Director
AmCham Azerbaijan

Landmark Building
96 Nizami street
AZ1010-Baku, Azerbaijan
Tel. +99412 497 1333
Fax. +99412 497 1091
www.amchamaz.org