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AmCham Belgium Membership Application

Please type your company's HQ location (city and country).
Please select the membership type your company is interested in applying for from the selection above. You can find all membership information here.
Please provide your primary contact's full name and job title. 
Primary contacts are the main point of contact for AmCham related matters for your company.
Please provide your country/regional/office head full name, job title and email address. 
A "Head of Company" contact should be the decision maker for your company's Belgium affairs and will be invited to CEO-level events.
Please provide the name, job title and email address of Executive Assistant to the Head of Company.
Membership with AmCham Belgium is on a company-wide basis and therefore open to all company employees. Please enter the names, job titles, and email addresses of any employees you wish to include in our future communications i.e. event invitations, etc. A list of contacts can also be uploaded in the field below, or provided at a later stage.
Prefer to upload a file with the list of company employees? Please upload your file here. Make sure to include their full names, job titles, and email addresses.
Please tell us what your company does in one short paragraph. This information will be shared in the yearbook.
Please provide your company's physical postal address.
Please provide your company's address for invoicing (if different from Company Post Address).
Please select if your company requires a Purchase Order when invoiced. If Yes, please provide the PO contact below.
If your company requires a PO, please provide the name, job title and email address of the person we should request the PO from. 
Please provide the name, job title and email address of a finance/invoicing/accounts payable contact. This contact should be able to assist with any issues regarding billing.
Please provide the URL of your company's official website for Belgium, if applicable.
Please select the range in number of employees globally that best fits your company.
Submit

PLEASE NOTE: By clicking on "Submit", you are agreeing to the Terms and Conditions as set forth by AmCham Belgium.

Membership applications are subject to approval by the Board of Directors. Membership will automatically be renewed at the end of each annual membership term unless terminated in writing a minimum of three (3) months prior to the beginning of the next membership term. The annual dues are subject to change as per the bylaws.


AmCham Belgium needs the contact information you provide in order to contact you about our events, programs, policy initiatives, and other membership news. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy.