Submit Data – Nigerian American Chambers of Commerce

Personal Details

First Name*

Last Name*

Email Address*

Phone Number*

Gender*

State*

City*

Zip*

Address*

Business Details

Business Name*

Business Description*

Nature of Business*

Business Location*

Is your company registered?*

Business Website Optional

Title*

Principal Owner*

Contact Person to be Listed on Website*

Are you joining as Individual or Corporate?*

Required Documents

Certificate of Incorporation / Business Registration (Optional)

Proof of Address (Business Location)*

Will you like to join the young professional group?*

Why are You Joining the Chamber*

Additional Contacts

Indicate below who will be interested in receiving chamber publications and information
Name*

Name*

MEMBERSHIP CLASSIFICATION: you may select an enhanced level of participation and benefits. Payments can be made over the phone or online

Student - $75Individual Membership - $275Non-Profit Organization - $300Small Business Membership - $500 (1 - 20 employees)Company - $1000 (20 - 100 employeesCorporation - $2500 (100 - 250 employees)

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