European Chamber of Commerce
and Industry in Lao PDR
Membership Registration Form 2011
I. CONTACT INFORMATION
Company Name:……………………………………………………………………………………………………….........
Owner’s Name(s): ……………………………………………………………….………………………………………….
Address:……………………………………………………………………………………………………..………………
Phone:………………………………………………………Email:………………………….…………..…………………
II. COMPANY INFORMATION
Business Category: …………………………………………………………………………………………………………
Brief Description of Business: ……………………………………..………………………………………….………….
III. ANNUAL MEMBERSHIP FEE
Membership dues are based on the company’s registered capital:
A: The capital of company with less than $ 150.000 : $150
B: The capital of company with between $150.000 and $500.000: $250
C: The capital of company with more $ 500.000: $400
IV. HOW TO JOIN?
The Membership will be open to European Individuals based in Laos working or having strong ties with the Business
Community as well as Corporate Companies, partially or totally owned by European Companies or having strong ties
with European entities.
Please return membership registration form with your dues payment to Palamy:
By cash at the office of the : ECCIL, Banque Franco-Lao Building, 5th floor. Lane Xang Avenue, Hatsady
Neua Village, Chanthabouly District.
By banking transfer to the "European Chamber of Commerce in Lao " at Banque Franco-Lao Building, Lane
Xang Avenue, Hatsady Neua Village, Chanthabouly District.
- In USD : compte N 001 00857 11 01 01
- In LAK : compte N° 001 00857 11 00 01
Please note that the transfer fees will be at your charge
Name and Signature
------------------------------------------------------------------------------------------------------------------------ -----------------------
ECCIL, Banque Franco-Lao Building, 5th floor.
Lane Xang Avenue, Hatsady Neua Village, Chanthabouly District.
P.O. Box 11781, Vientiane, Lao PDR. E-mail: infos@eccil.org; contact@eccil.org. Website: www.eccil.org