Membership Application Form (Individual) 1234567891011121314 THE CANADIAN CHAMBER OF COMMERCE OF THE PHILIPPINES INDIVIDUAL MEMBERSHIP CATEGORY*Please selectNon-CorporateAffiliate-NonCorporateStudent PRINCIPAL ADDRESS*Please selectMetro Manila/NCRLuzon (outside NCR)VisayasMindanaoOutside the Philippines APPLICANT'S NAME:*TitleFirstLastMiddle COMPANY NAME & POSITION OR SCHOOL AFFILIATION: * Address* Street Address City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial 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