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Company / organisation name

Postal Address

P.O. Box

Zip code

City

Country

Contact Person Name

Contact Person Email

Contact Person First Name

Contact Person Last Name

Title

Function / Designation

Phone

Mobile Phone

Fax

LinkedIn URL

Company / organisation website

Sector of Activity

Activities in Africa:

African Countries already Active in

Short description of your activity in Africa

If not yet active in Africa, briefly describe your future projects/ plans

Membership category (please choose the corresponding radio button) CHF 5’000 for large companies (>250 employees, >70 mio CHF annual turnover)
CHF 3’000 for medium-sized Swiss based companies (<250 employees, <70 mio CHF annual turnover)
CHF 2’000 for medium-sized Africa based companies (<250 employees, <70 mio CHF annual turnover)
CHF 2’000 for small-sized Swiss based companies (<50 employees, <14 mio CHF annual turnover)
CHF 1’200 for small-sized Africa based companies (<50 employees, <14 mio CHF annual turnover)
CHF 1000 for individuals, associations or non-profit organisations

Member Role

Member Active/Inactive

Company Description

Comment

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