Registration Form - The European Union-Zambia Business Club

The EUZBC offers 4 levels of membership, you must select one option -

This is a required field*

Small Business - with an annual turnover below K5 million
Medium Business: Businesses with an annual turnover between K5 and K10 million
Large Business: Businesses with an annual turnover of over K10 million

Membership Option

Small Business with an annual turnover below K5 million - K2 500 per year

Medium Business with an annual turnover between K5 million and K10 million - K3 800 per year

Large Business with an annual turnover above K10 million - K7 500 per year

Honorary Membership

Select Membership Option This is a Required Field

Membership

Company Details for the Public Database

Company Name *

Company Address *

City

Country

Country Code

Phone Number for Members of the Public *

Please enter the phone number beginning with a 0

Country Code

Phone 2

Please enter the phone number beginning with a 0

Phone Number for Members of the Public

Phone 2

Email Address for Members of the Public

This will be visible on the public Directory

Company Website or Facebook link

This will be visible on the public Directory

Company registration number (PACRA or other)

Company Description (Max. 300 char) *

This will be visible on the public Directory

Main sector of activity: *

Main subsector of activity:

Primary contact for EUZBC purposes

This information is for the EUZBC only and will not be visible on the public Directory

Title *

First name *

Last name *

Position in Company

Country Code

Primary Phone Number *

Please enter the phone number beginning with a 0

Country Code

Phone 2

Please enter the phone number beginning with a 0

Primary Phone Number for EUZBC Contact

Phone 2 Primary Contact

Email address for EUZBC Correspondence *

This is the email address that all EUZBC invitations, newsletters and information will be sent to

Secondary contact for EUZBC purposes:

Please enter the phone number beginning with a 0

Title

First name

Last name

Position in Company

Country Code

Phone Number

Please enter the phone number beginning with a 0

Phone Secondary Contact

I give consent to the EUZBC to display the company name, and company profile on the website *

Yes

Your personal contact details are protected under the General Data Protection Regulation (GDPR) Regulation (EU) 2016/679. Do you give your consent to sharing your personal contact details with other members of the EUZBC in case this is requested? *

Yes

The Club works through its Board and 5 Committees, focussed on issues of interest to the membership. If you would like to join one or more of the committees, please choose hereunder:

If you are human, leave this field blank.