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Green Corner

Application for Membership

The Underdesigned hereby applies for membership in the German American Chamber of Commerce of the Midwest, Inc. and agrees to pay the minimum annual dues during the continuance of this membership.
Please indicate your category:
Membership:*Basic Membership: (1-99 employees in the Mid-West) $500
Corporate Membership100 + employees in the Midwest) $1000
Company Name:*
Contact Name:*
Title:*
Address:*
City, State:*
ZIP:*
Telephone:*
Fax:*
Company Website:*
E-mail Address:*
Type of Business (Activity):*
NAICS Code(s):*
Year Established:*
Number of U.S. employees:*
Is your US location a
manufacturing facility
a research and development facility
a sales and service office
company headquarters
Is your company an American subsidiary of a German firm?
Choose one:yes
no
U.S. headquarters
If so, please list parent company and address:
Percentage of German Capital:
Would you like to be informed of our events and announcements?
Choose:yes
no

Please enter the code shown:
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