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

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

Additional Member Names

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. A SME member may register one additional individual for a total of two 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