Membership Application

I hereby apply for membership as a/an □ Individual □ Entrepreneurs
                                                              □ Business   □ Counselor Member
of the French-American Chamber of Commerce San Francisco, Inc.

Date: ______________

Company information (not for Individual Memberships)

Company Name: ____________________

Website: __________________________

Nature of Business: (25 words to describe your business in the directory) ________

______________________________________________________________________

Year of joining the Chamber: ___________________

 

For all Memberships (please provide personal information for Individual Membership)

Name of the Representative:_____________________

Title: ___________________________  Department : _________________

Email: __________________________

Address _____________________________________________________________

City: ________________  State: _____ Zip: __________________

Phone: (_____)_________________________ Fax: (_____)____________________

 

For Business Membership

Name of the additional Representative: _________________________________

Title: ___________________________  Department : _________________

Email: __________________________

Address _____________________________________________________________

City: ________________  State: _____ Zip: __________________

Phone: (_____)_________________________ Fax: (_____)____________________

Names of French Firms Represented (if any): ___________________________

Applicant's Signature:________________________          

Please send completed application to FACC, 703 Market Street, Suite 450,
San Francisco 94103,
Or return by fax to (415) 442 - 4621

_____check enclosed _____please send invoice