Membership Application Form

Business Name:(Required)

Physical Address:

P.O. BOX:

Code:

Telephone:(Required)

Mobile:

County:(Required)

Email:(Required)

Business Sector:(Required)

Contact Person 1 (Full Name)(Required)

Position

Mobile

Telephone(Required)

Reason (s) For Joining BuyKenya

Membership Category:(Required)

Certificate of Incorporation /National ID

Accepted file types: jpg, gif, png, pdf, Max. file size: 200 MB.

PIN Certificate

Accepted file types: jpg, gif, png, pdf, Max. file size: 200 MB.

CR.12 Form

Accepted file types: jpg, gif, png, pdf, Max. file size: 200 MB.

Code Of Ethics

Accepted file types: jpg, gif, png, pdf, Max. file size: 200 MB.

Year Established(Required)

Number of Employees(Required)

Business Registration Status (Registered or Not Registered)(Required)

Annual Turnover(Required)

MEMBERSHIP APPLICATION FORM