Application for Membership

The Underdesigned hereby applies for membership in the Colorado Chapter of the German American Chamber of Commerce, Inc. and agrees to pay the minimum annual dues during the continuance of this membership.
Please indicate your category:
Membership:*		Corporate Membership: $500 Small Business: $200 Associate: $100 Student: $30
Company Name:
Contact Name:*
Title:
Address:*
City, State:*
ZIP:*
Business Phone:
Cell Phone:
Home Phone:
Fax:
Company Website:
E-mail Address:
Type of Business (Activity):
Industry Segment:
NAICS Code(s):
Year Established:
Number of U.S. employees:
Sales turnover:
Is your US location a
		manufacturing facility
		a research and development facility
		a sales and service office
		company headquarters
Is your company an American subsidiary of a German firm?
Choose one:		yes no U.S. headquarters
If so, please list parent company and address:
Percentage of German Capital:
Is your company brochure or Annual Report enclosed:
Choose:		yes no
May we share this information with other GACC Members and Institutions?		yes no
How would you like to be informed about joining the GACC?
		Email
		Mail
		Fax
		Please enter the code shown:
Payment information		Check or Paypal
Please make checks out to "GACC"or German American Chamber of Commerce. Please remit the completed form and payment to: GACC, P.O. Box 2148, Arvada, CO 80001-2148