Nigerian-American Chamber of Commerce

CAPWIRE / WASHAMAN BUILDING

19a Sinari Daranijo Street, Off Ajose Adeogun Street, V/Island, Lagos
Tel: +234(0)8168132893
E-mail: info@nigerianamericanchamber.org
www.nigerianamericanchamber.org

APPLICATION FOR MEMBERSHIP

1. COMPANY DETAILS

Name of Company ___________________________________________________________________________

Date of Incorporation/Registration ______________________________________________________________

Incorporation / Registration Number _____________________________________________________________

Office Address ______________________________________________________________________________

__________________________________________________________________________________________

Company Phone Number: ___________________________________ Email: ________________________________

Main Business Activities:

__________________________________________________________________________________________

Other Business Activities:

__________________________________________________________________________________________

Last Annual Turnover:

__________________________________________________________________________________________

Number of Employees:
__________________________________________________________________________________________

Name(s) of Partners /Directors 1. ________________________________

2. _________________________________

3. _________________________________

Does any USA company have financial interest in your company? Yes No

If so, which company?

_________________________________________________________________________________________
2. COMPANY REPRESENTATIVE

i. Name of Primary Contact for Chamber Matters

___________________________________________________________________________________________

Position held in the Company

___________________________________________________________________________________________

Email of Primary Contact Person ________________________________________________________________

Mobile_____________________________________ WhatsApp Number ________________________________

3. REFEREES

i. Name: ______________________________ Name of Company _______________________________

E-mail: _____________________________ Date _____________________________________

Phone No:

ii. Name: _______________________________ Name of Company _______________________________

E-mail: _____________________________ Date ____________________________________

Phone No:

4. DECLARATION
I/We hereby apply for Membership of the Nigerian-American Chamber of Commerce, and if our application is
favorably considered, I/We agree to be bound by the Chamber's Constitution and other conditions of membership.

I/We declare that all statements made, and information supplied by me/us on this Application Form are true and correct.

Name: Designation

Signature:______________________________________ Date: ________________________________________

REQUIRED DOCUMENTS
• Most recent Audited Annual Accounts
• A Copy of Certificate of Incorporation
• A Copy of Memorandum & Articles of Association
• A Copy of CAC 07
• One Page Brief of the Company
• One Page Profile of the Key Personnel

MEMBERSHIP CATEGORY
Category Criteria by One-Off One-Off One-Off Annual Total Initial
Last Annual Registration Development Induction Membership Membership
Turnover Fee Fees Fees Subscription Fees
A- Multinational Over 1bn ₦ 50,000 ₦ 100,000 ₦ 50,000 ₦ 200,000 ₦ 400,000
B- Large 100m – 1bn ₦ 50,000 ₦ 100,000 ₦ 50,000 ₦ 100,000 ₦ 300,000
Enterprises
C- Small & Less than ₦ 20,000 ₦ 100,000 ₦ 50,000 ₦ 50,000 ₦ 220,000
Medium 100m
Enterprises

Annual Membership Fees of N3,000,000 only for Premium Membership by Invitation and Interest