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MEMBERSHIP APPLICATION SEARCH:

AMCHAM Malaysia accepts applications from companies with significant trade, investment or other interests in Malaysia and the United States.

Membership categories include: Large Corporate, Small Corporate (A or B), Individual, and Non-Resident. All applications are reviewed and approved by AMCHAM’s Board of Governors. To apply, complete and return the application form below and send a check for the relevant membership fee, made payable to American Malaysian Chamber of Commerce.

Fill out the online application form below or download a printable copy (PDF format) and fax to us.

** Please be reminded that this website is designed to work on Internet Explorer (IE) 6.0 or higher. For online applications your browser should be IE 6.0 or higher. Information will not be displayed properly on other browsers. Please make sure all the fields marked with an asterisk * are filled.

Fields marked with * are required.
This application was prepared and submitted by:
Owner *
Name *
Title / Designation *
Date
Company Information
Company *
Address *
City
Postcode
Country
Phone *
Fax *
e-mail *
web site
Business Reg. No
* Individual membership is limited to U.S. citizens not attached to companies in Malaysia.
Corporate Representative
Name *
Title/Designation *
Nationality
Date of Birth
Phone *
Fax *
Mobile #
e-mail *
Additional Representative(s)
Representative 1
Name
Title/Designation
Nationality
Date of Birth
Phone
Fax
Mobile #
e-mail
Representative 2
Name
Title/Designation
Nationality
Date of Birth
Phone
Fax
Mobile #
e-mail
Representative 3
Name
Title/Designation
Nationality
Date of Birth
Phone
Fax
Mobile #
e-mail
Representative 4
Name
Title/Designation
Nationality
Date of Birth
Phone
Fax
Mobile #
e-mail
Representative 5
Name
Title/Designation
Nationality
Date of Birth
Phone
Fax
Mobile #
e-mail