Membership Registration Form

Membership Application

Together We Can Make a Difference
All-African Community Development and Environmental Protection Foundation
Business or group membership

(Annual fee: $3000.00) for Four(4) Members.

(Annual) fee: $2000.00) for three(3) Members.
Business/Group/Organization name
Website
Primary contact name*

First NameLast Name
Primary contact email*
example@example.com
Position
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Passport Photo(White Background)*

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Phone Number*
Please enter a valid phone number.
Additional colleagues covered by membership (list up to three)
Name

First NameLast Name
Email address
example@example.com
Upload Passport(White Background)

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Name

First NameLast Name
Email address
example@example.com
Upload Passport(White Background)

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Name

First NameLast Name
Email address
example@example.com
Upload Passport(White Background)

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Notes about group membership privileges:
Members are allotted up to four free invitations to all programs and networking events, plus a company profile page to expand your reach within our community.
Duration of membership

From (date of membership approval) to (date of membership renewal). Club memberships are renewed annually.
Signature*
Should be Empty:

Membership Application