Company Name Full Address Sangkat City Main Telephone No: Web Page Address Info Email Address Family Name First Name Mr./Mrs./Ms./Dr. Position Mobile No Mobile Other Email Address Personal Email (optional) Name Position Email Other Types of Memberships My establishment is a Associate Member (Suppliers/Hospitality Corporate Brand Businesses) Luxury (4 5 star) – NGO/Business Association Mid-Range Hotel (2 3 star) – Restaurant Category 1 – Budget Hotel (1 no star) – Restaurant Category 2 – Guesthouse Travel Agency Online Room Rate Number of Rooms MICE Capacity Info Meeting (capacity) Eco Award(s) Yes/No Equipment Ministry of Tourism Licensed Yes/No Other Ministry of Tourism Star Rated Yes/No Parking Child Safe Yes/No On behalf of our company/hotel, I wish to apply for membership with the Cambodia Hotel Association. I understand by completing this form and sending to CHA, the membership application will be reviewed and upon approval, I will be invoiced for the annual membership fee. Signature of Applicant: Date: 2018 Hotel Room Published Rate Per Night Other Types of Memberships Corporate Brand Annual Membership $500 Associate Member - $500 – $100 & Annual Membership $300 NGO/Business Association - $100 – $50 to $99 Annual Membership $200 Restaurant - $200 – Below $50 Annual Membership $100 Restaurant - $100 – Guesthouses Annual Membership $50 Travel Agency - $500 – Reviewed by Executive Committee Added to Contact List Invoiced Added to Website
Company Name Full Address Sangkat City Main Telephone No: Web Page Address Info Email Address Family Name First Name Mr./Mrs./Ms./Dr. Position Mobile No Mobile Other Email Address Personal Email (optional) Name Position Email My establishment is a Corporate Brand Luxury (4 – 5 star) Mid-Range Hotel (2 – 3 star) Budget Hotel (1 – no star) Guesthouse Other Types of Memberships Associate Member (Suppliers/Hospitality Businesses) NGO/Business Association Restaurant – Category 1 Restaurant – Category 2 Travel Agency Online Room Rate Number of Rooms MICE Capacity Meeting (capacity) Equipment Other Parking Info Eco Award(s) Yes/No Ministry of Tourism Licensed Yes/No Ministry of Tourism Star Rated Yes/No Child Safe Yes/No On behalf of our company/hotel, I wish to apply for membership with the Cambodia Hotel Association. I understand by completing this form and sending to CHA, the membership application will be reviewed and upon approval, I will be invoiced for the annual membership fee. Signature of Applicant: Date: 2018 Hotel Room Published Rate Per Night Corporate Brand – Annual Membership $500 $100 & – Annual Membership $300 $50 to $99 – Annual Membership $200 Below $50 – Annual Membership $100 Guesthouses – Annual Membership $50 Other Types of Memberships Associate Member - $500 NGO/Business Association - $100 Restaurant - $200 Restaurant - $100 Travel Agency - $500 Reviewed by Executive Committee Invoiced Added to Contact List Added to Website
CHA-Membership-Application-Form-2018.docx