ASEAN Coffee Federation Membership Application Form (Associate)

ASEAN Coffee Federation

Membership Application Form (Associate)
Membership Category: Associate @ USD$800/Year

*Please note that there will be an additional USD$500 one-time Entrance Fee for first time application
Company's Particulars
Name of Company*
Address Line 1*
Address Line 2*
Country*
Phone Number*

Country CodePhone Number
Email*
example@example.com
Website URL*
Logo of Company*

Please upload your company's logo in high-resolution format (JPEG, PNG, or AI preferred). This will be used for membership processing and future branding materials, if applicable.
Cancelof
Main Representative's Particulars
Name*

First NameLast Name
Gender*

MaleFemale
Designation*
I.E., Director, Managing Director, Head of Marketing
Email*
example@example.com
Mobile Number*

Country CodePhone Number
Nationality
ID Number
Date of Birth

MonthDayYear
Date
Referral
Referred by Member*

YesNo
Name of Member*
Declaration

I hereby declare that all information submitted in support of this application are accurate and shall abide by the Federation's rules and regulations as stipulated in the Federation's Constitution
Signature of Applicant*

Clear
Name of Signatory*
Date of Application*

MonthDayYear
Date
**Important**

Kindly note that submission of this form does not constitute confirmation of membership. This is an application only, and it will be reviewed by the ASEAN Coffee Federation (ACF). If your application is approved, you will receive a separate invoice for the membership payment from ACF. Thank you for your interest in joining us!
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ASEAN Coffee Federation

Membership Category: Associate @ USD$800/Year