Membership Registration for Individuals

Become a member

Membership *

Associate - $ 150.00

Young Professional - $ 100.00

J-1/VIE - $ 50.00

Please renew my membership automatically.

Total Amount

Member Company Details Information

Company Name *

Please enter the email of the primary contact

Email *

Phone (Main) *

Street Address *

City *

Zip Code *

Country *

State *

Industry *

Business Description *

Company Logo

Website

Headquartered in

Entity type

Name of Parent Company

Number of Employees (locally)

Does your company host VIE/J1 interns and trainees?

Yes No

Please provide an HR point of contact for VIE & J1 program updates

If yes, please provide a PR point of contact

Is your company interested in sponsorship/marketing opportunities?

Yes No

Is your company interested in PR opportunities?

Yes No

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Password

Confirm Password

Provide a password for the new account in both fields.

Primary Contact Information

First Name *

Last Name *

Professional Occupation *

You may select as many categories that are applicable to your occupation.

Email *

Phone *

Photo

Are you interested to speak at events?

Yes No

If interested, please specify your field of expertise

What are you looking for as an FACC member?

Networking Events and Business Opportunities

Speaker series, Conferences and Workshops

Sponsorship and Marketing opportunities

Trade and referral services

Exposure via the FACC website, social media and other communication tools

Promotional Offers

Employment Services/Career Opportunities

J1/VIE intern and trainee program

Other