Membership Application

Please fill all the fields

Member DetailsMembership FeesPayment FeesTerms and Conditions

Name of Applicant (Company/Organization) *

Name of Contact Person *

Position of Contact Person *

Physical Address *

Postal Address *

Telephone No (country code, number) *

Fax No (country code, number)

Email *

Website

Core Business *

Date of incorporation *

Membership Categories

Active MembershipAffiliate MembershipAssociate Membership

Active Membership	Affiliate Membership	Associate Membership
This membership is open to Traders, Processors and Producers	This membership is open to National Level Associations	This membership is open to Input companies, Banking, Insurance etc
Registration - USD $100	Registration - USD $400	-
Annual Subscription - USD $300. Entitles you to 1 year of benefits starting from date of receipt of payment	Annual Subscription - USD $600. Entitles you to 1 year of benefits starting from date of receipt of payment	Annual Subscription - USD $500. Entitles you to 1 year of benefits starting from date of receipt of payment
5 year discounted subscription - USD $1200. Entitles you to 5 years of benefits starting from date of receipt of payment	5 year discounted subscription - USD $3200. Entitles you to 5 years of benefits starting from date of receipt of payment	5 year discounted subscription - USD $2000. Entitles you to 5 years of benefits starting from date of receipt of payment
Bank charges are to the senders account	Bank charges are to the senders account	Bank charges are to the senders account

Payment mode

Telegraphic TransferCrossed ChequeCashWire Transfer

Telegraphic Transfers	Commercial Bank of Africa Ltd in Favour of East African Grain Council AC 6432510038 SWIFT Code CBAFKENX
Crossed Cheque	in Favour of East African Grain Council
Wire Transfer	Commercial Bank of Africa Ltd in Favour of East African Grain Council AC 6432510038 (USD) SWIFT Code CBAFKENX

I have read and understood the bylaws and regulations of EAGC

Date *