Step 1 of 19 5% Notes: Where a Member company has Subsidiaries, the following structure will apply: a. Holding Company – Full Subscription Fee as per the categorization b. Conglomerate rate for Subsidiaries – TT$3,000 per company N.B. Each company must apply and be accepted in its own right. The Holding Company must have a total of at least five (5) subsidiaries, they must have at least 51% ownership in the subsidiary and the Holding Company must be in the highest category in order for any of its subsidiaries to benefit from the conglomerate rates. All subsidiaries must also provide proof of their status. *An individual may apply in the Bronze Category providing he/she is not aligned to a company of firm to a company or firm who may qualify for a higher category of membership TIER CLASSIFICATION CRITERIA (TURNOVER/ GROSS REVENUE) CURRENT RATE (BEFORE V.A.T.) NEW RATE – EFFECTIVE 2020 DIAMOND $100M+ $13,500 $14,500 DIAMOND - SUBSIDIARY Eligibility - Subsidiary of a diamond parent company member in good financial standing $3,400 $3,700 PLATINUM $50M - $99M $10,100 $10,800 GOLD $10M - $49M $6,700 $7,200 SILVER $3M - $9M $2,800 $3,000 BRONZE - COMPANY $0 - $3M $1,400 $1,500 BRONZE - INDIVIDUAL $0 - $3M (Consultants & professionals) $1,400 $1,400 ASSOCIATIONS Other BSOs $1,400 $1,400 ASSOCIATE INDIVIDUALS Must be a member/participant in an approved business incubator programme $44 $44 Company Name:*(If your company’s name has changed in the last year please tell us): Address:*(If your company’s name has changed in the last year please tell us) Street Address City Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Parent Company/Group:(If Applicable) Phone:*Fax:Corporate Email:* Website: Employee Head Count:*(Permanent Staff) Do you have Staff members represented on Committees?*YesNoIf yes, please indicate which committees:Last Annual Return* Drop files here or Select files Max. file size: 50 MB. List Key Personnel & Indicate if also An Official Company Representatives (refer to the table above based on your category of membership) The information provided below will be used to target specific communications via email or otherwise relevant to the subject or content. Please note that Official Representative(s) are the only persons who may exercise your Company’s vote at the Chamber’s AGM. The information given here will override existing information in our database. Head of Company:*(Please state name) Designation:*(Please state Head of Company's Official title) Email: Phone:Mobile Phone:Official Rep: Head Finance of Company:*(Please state name) Designation:*(Please state Head of Company's Finance Official title) Email: Phone:Mobile Phone:Official Rep: Head of Operations of Company:*(Please state name) Designation:*(Please state Head of Company's Operations Official title) Email: Phone:Mobile Phone:Official Rep: Head of Human Resources of Company:*(Please state name) Designation:(Please state Head of Company's Human Resource Official title) Email: Phone:Mobile Phone:Official Rep: Head of Industrial Relations of Company:(Please state name) Designation:(Please state Head of Company's Industrial Relations Official title) Email: Phone:Mobile Phone:Official Rep: Head of Marketing:(Please state name) Designation:(Please state Head of Company's Marketing Official title) Email: Phone:Mobile Phone:Official Rep: Head of Sales:(Please state name) Head of Sales of Company:(Please state name) Designation:(Please state Head of Company's Sales Official title) Email: Phone:Mobile Phone:Official Rep: Head of I.C.T. of Company:(Please state name) Designation:(Please state Head of I.C.T. Official title) Email: Phone:Mobile Phone:Official Rep: Head of Facilities Management of Company:(Please state name) Designation:(Please state Head of Facilities Management Official title) Email: Phone:Mobile Phone:Official Rep: Head of Corporate Social Responsibility of Company:(Please state name) Designation:(Please state Head of Corporate Social Responsibility Official title) Email: Phone:Mobile Phone:Official Rep: Head of Imports of Company:(Please state name) Designation:(Please state Head of Imports title) Email: Phone:Mobile Phone:Official Rep: Head of Exports of Company:(Please state name) Designation:(Please state Head of Exports title) Email: Phone:Mobile Phone:Official Rep: Head of New Business Development of Company:(Please state name) Designation:(Please state Head of New Business Development title) Email: Phone:Mobile Phone:Official Rep: Head of New Business Development of Company:(Please state name) Designation:(Please state Head of New Business Development title) Email: Phone:Mobile Phone:Official Rep: Head of Trade, Logistics & Procurement of Company:(Please state name) Designation:(Please state Head of Trade, Logistics & Procurement title) Email: Phone:Mobile Phone:Official Rep: Name of Liason: Phone:Mobile:Email: Other Information:*(Tell us a little more about your company) Select relevant boxes below Are you a Manufacturer/Producer? Are you an Importer/ Distributor? Are you a Retailer? Are you a Service Provider? Areas of Business Activity:*(Please describe your company’s main types of business activity. Indicate key types of products or services)List Your Main Brands or Trade Marks*