1 What are your full names?
2 What's is the name of your business?
3 What is the legal form of your Business? Choose below
Pty Limited Company
4 We hate to be rude, but what is your position in the business?
5 And what's your line of business? Choose all that is applicable from below. (, choose more than one as appropriate from the Industry classification)
Accommodation and food service activities Activities of extraterritorial organizations and bodies Activities of households as employers; undifferentiated goods- and services-producing activities of households for own use Administrative and support service activities Agriculture, forestry and fishing Arts, entertainment and recreation Construction Education Electricity, gas, steam and air conditioning supply Financial and insurance activities Human health and social work activities Information and communication Manufacturing Mining and quarrying Other service activities Professional, scientific and technical activities Public administration and defence; compulsory social security Real estate activities Transportation and storage Water supply; sewerage, waste management and remediation activities Wholesale and retail trade; repair of motor vehicles and motorcycles
7 What's the best email address to contact you?
8 Sorry for being nosy, what's the best phone contact number to reach you at?
12 Which membership category would work best for your business?
13 Which of our branch offices would you like to serve you? Please a location choose from below:
NCCI Head Office
14 Would it be ok for us to set an appointment to discuss your other needs or expectations from the Chamber?
15 We'll discuss what the respective membership category includes when we see you. You can make a deposit, an electronic wire transfer or pay at our offices? Attach proof of payment if you opt to deposit or transfer electronically.
Bank Name: Nedbank Namibia
Branch Name: Business banking
Branch Code: 461-617
Account No: 11000169155
Account Type: Cheque