ACBC Online Membership Application

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AMERICAN CONTRACTOR'S BUYING CO-OP

Application for Membership

Member's Name
Home Address
Home Phone
Work Phone(s)
Mobile Phone
E-mail home
E-mail work
Company Name
Company Address

Company Phone
USAID Project Name
Proof of Eligibility	Letter from COP Copy of Passport Letter from USAID Contract Office (3rd Country Nationals)
Date your contract ends

I request membership in the American Contractor’s Buying Co-op.
I have read the requirements for participation and agree to furnish all necessary documentation as outlined in "Joining ACBC"
I understand that membership in American Contractor’s Buying Co-op terminates when my USAID contract ends or December 31, 2001, whichever is first.
I agree not to sell, lend or give any items purchased or imported through ACBC to nonmembers. I understand that failure to adhere to this policy will result in immediate termination of membership.
I have read and agree to follow the guidelines for ordering commodities detailed in "Ordering from ACBC".
I understand that the American Contractor's Buying Co-op is a voluntary cooperative organization managed by a Coordinating Committee. While the American Contractor's Buying Co-op will obtain insurance to limit major losses throughout the process, the organization, including its membership, will not be responsible for losses.

Signature:_______________________________________________(Contractor or spouse)

Date: _______________________________

Registration Fee paid (date):_______________________________

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