Membership Form

Apply for below categories:

CATEGORY 1: RESIDENT MOZAMBIQUE MEMBERSHIP
(Applicable to individuals and organizations based in Mozambique)

CATEGORY 2: INTERNATIONAL & FOREIGN MEMBERSHIPS
(Applicable to individuals and organizations outside Mozambique)

Company

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Address

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City

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State

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Country

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Zip

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Phonenumber

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Website

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Vat

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Primary contact firstname

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Primary contact lastname

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Primary contact email

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Primary contact phonenumber

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Primary contact position

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Please pick one option from the list