Information of the Person Completing the application form:

Information of the Chief Officer:

Information of the Financial Officer:

Company information

* Industry/Sector Company Affiliation:

* Company is:

* Parent Company based in which country:

* Please state the reasons this organization is interested in joining the Chamber:

Committees and Working Groups are Chamber drivers of policy-related issues and there is an expectation by the Board of Directors that all Members will participate actively in at least one Committee providing expertise and support.

Please mark all issues you/your colleagues would be interested in participating in (at least one):


* We as an organization applying for Membership in the American Chamber of Commerce in Ukraine are familiar with and agree to abide by Chamber's Guiding Principles for a Business Code of Conduct.