2025 CCCI Membership Application Form

2025 Membership Application FORM

Membership is valid for 1 year from date of registration. Ground Floor, Sir Hubert Murray Stadium, Poreporena Freeway, Konedobu, NCD Email: infoccci02@gmail.com Phone: +675 8126 4112
To apply for membership of the CENTRAL CHAMBER OF COMMERCE & INDUSTRY INCORPORATED please fill in the below form in its entirety and return it with a copy of your company REGISTRATION CERTIFICATE and PAYMENT (cheque or direct deposit) for the APPROPRIATE MEMBERSHIP CLASS made payable to the: CENTRAL CHAMBER OF COMMERCE & INDUSTRY INC.
Section 1: Personal Details

Please fill your name, and contact information
State full name of designated representative:*

First NameLast Name
A current contact number: *

Area CodePhone Number
A reliable email address:*
example@example.com
A website address:
www.example.com
Please list up to 5 additional Representatives for our CCCI Newsletter (include email and phone): *
Section 2: Company Information

Please fill your name, address and contact information
Company Name (Include Business Name or Trading Name):*
State name of business you work with or own/operate
Company Address/ Location*

Postal Address

Street Address

CityState / Province

Postal / Zip CodeCountry
Attach IPA & TIN Certificates:*

Attach your most recent and up-to-date certificates
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Section 3: Membership Information

Select appropriate membership below and join the CCCI.
Membership Type*
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Class A Membership
Companies with Head Office in Central and may have branches in other towns or Provinces

4,400.00PGK



Class B Membership
Large Companies: Central operations - 50 employees or more (Foreign & Local)

3,850.00PGK



Class C Membership
Small Companies, Central operations only with 11- 49 Employees (Local Companies)

1,650.00PGK



Class D Membership
Small Companies, Central operations only with 2-10 Employees (Local Companies)

550.00PGK



Class E Membership
Central Based Cooperatives, Associations and Individual Membership

275.00PGK



Total

0.00PGK
Code of Conduct and Ethics*
Date of Signature*

DayMonthYear
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2025 Membership Application FORM

Section 1: Personal Details

Section 2: Company Information

Section 3: Membership Information