USIBA - US India Business Alliance, Bilateral Issues, Bilateral Trade, Bilateral Growth, Delegation

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THE US-INDIA BUSINESS ALLIANCE - MEMBERSHIP FORM
Please fill out this form completely. In order to avoid delays, please do not leave any blanks. In case any section is inapplicable, please fill in Not Applicable or N.A.

A completed form will require a copy of the organization’s annual report or financial statement showing parent company sales/gross revenue.

01. Organization Details
Name of Organization
Telephone
Fax
Email
Parent Company (If Different)
Address
Telephone (Parent Company)
Fax (Parent Company)
Email (Parent Company)
02. Brief description of the overall business of the organization:
Details
03. Principal product and/or service interests in US / India
Product Details
04. Principal Representative of the organization that USIBA may contact for purposes of communications, inquiries and dues notices:
Name
Title
Company
Address
Telephone
Fax
Email
05. Fee is based on the member organization’s Annual/Gross Revenue. Please contact membership@usiba.org to know what fee bracket your company falls in.
COMBINED SALES OR GROSS REVENUE (WHICHEVER IS HIGHER): $

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