Corporate Special Partner
Special Company Company Associate Special Company
Individual Young Professional Non Resident
Please include two passport-size photographs with your application
Title: Last Name: First Name: Initial:
Date of Birth: Citizenship:
Job Title: Company:
Address 1: Tel (Office):
Address 2: Tel (Home):
Address 3: Cell phone:
  Fax:
  E-mail:
I wish to receive AMCHAM notices by: e-mail fax both e-mail and fax
Choose either of: OK to list in the directory For emergency only
ALL FIELDS to be completed by all applicants except Company Associate Members
HQ Name:
HQ Address:
HQ State: HQ Country:
 
 Business Presence in Korea  Status
Central Tel:
Branch Office Liaison Office
Central Fax:
100% Foreign Owned Subsidiary
Central e-mail:
100% Korean Owned Firm
URL:
Joint Venture
No. of Employees:
  JV Partner:
No. of Expatriates:
Non-profit Organization
Name of Voting Company Member

Major activities in Korea (Paragraph form, 50 words or less)-

This will appear as written in the Directory:
Please enter your three digit industry classification code (refer to list)
Primary: Secondary: Other
I agree, if elected for membership, to be bound by the Constitution and By-Laws of the Chamber(Membership becomes effective after approval and upon receipt of full dues payment)
 
Applicant's Signature: Applicant Date:
If Company Associate Applicant, obtain
Company Member's authorization
Company Member's Signature :
To be completed by AMCHAM Office
Approved by President:
Company No.  
Membership No.  
Member's Name: Date: 
Voting Member's Name:
Dues for Corporate Special Partnership W15,000,000
Dues for Company Members and Special Company Members Dues Schedule
If you are not joining as a Company or Special Company Member,
please note your fee category below:
Entrance Fee - each Company or Individual member shall pay one time fee W150,000
Dues for new members will be pro-rated bimonthly for the remaining calendar year period.

Please indicate any Committees that you wish to join. By checking any of the boxes below, you will be notified of upcoming meetings of those Committees. Committee membership carries no fee or obligation.
AEROSPACE & DEFENSE AGRICULTURE/FOOD AUTOMOTIVE
CAPITAL MARKETS & FINANCIAL SERVICES CHEMICAL FOREIGN INVESTMENT
HUMAN RESOURCES INSURANCE INTELLECTUAL PROPERTY RIGHTS
LEGAL AFFAIRS LIVING IN KOREA/MEMBERSHIP MARKETING
MEDICAL DEVICES PHARMACEUTICAL PROFESSIONAL WOMEN'S
REAL ESTATE TAXATION TRANSPORTATION/TOURISM
PRIVATE EQUITY & VENTURE CAPITAL SECURITY/OSAC LIAISON EDUCATION
MEDIA & ENTERTAINMENT APCAC LIAISON DPRK
ENERGY & GREEN GROWTH PERSONAL CARE GOVERNMENT & INTERNATIONAL AFFAIRS
COMPLIANCE & ETHICS IT/TELECOMMUNICATIONS SMALL & MEDIUM SIZE ENTERPRISE
BUSAN
To be completed by AMCHAM Office
Membership Assessment: Entrance Fee:  
Total Membership Fees Dues:
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