Please enable JavaScript in your browser to complete this form. - Step 1 of 2COMPANY INFORMATIONName of ApplicantPrimary RepresentativePositionAddress:Address Line 1Address Line 2CityState / Province / RegionPostal CodeYour CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryTelephone:Mobile:Email:Website:Social Media:FacebookTwitterInstagramLinkedinAre you a member of any other Association? If so, please state:NextCOMPANY OFFICERS’ INFORMATIONChief Executive Officer *FirstLastTelephone:Email:Executive Assistant's Name:FirstLastTelephone:Email:Finance Manager's Name:FirstLastTelephone:Email:Marketing Manager's Name: *FirstLastTelephone:Email:Human Resources Manager *FirstLastTelephone:Email:Number of Employees or Members1-34-3031-100101-300301-499500-749750-1,000Over 1,000Gross Revenue/ Annum:J$0-15MJ$16-50MJ$51-75MJ$76-100MJ$101-150MJ$151-200MJ$201-300MJ$301-500MJ$501M-1BJ$1B - $5BOver J$5BWhat sector best describes the industry in which your business operates?Agriculture & FishingConstructionFinancial & InsuranceMining & QuarryingTransportation & Logisitcs & StorageReal EstateManufacturingAccommodation & Food ServicesPublic AdministrationElectricity & GasInformation & CommunicationAdministrative & Support ServicesEducationProfessional, Scientific & Technical ActivitiesArts, Entertainment & RecreationOther (specify:)Please attach the following documents with the completed application form:Reference Letter from Bank, Company Banker or Existing PSOJ MemberCompany’s Certificate of Registration or IncorporationProfiles of Directors/ Major Shareholders & Senior ExecutivesCompany ProfilFile Upload Click or drag files to this area to upload. You can upload up to 15 files. Kindly indicate by selecting the best option below, how you discovered the PSOJ:Social Media: (Facebook, Twitter, LinkedIn, Instagram)Access to Finance Facilitation Panel (AFFPNetworking eventSearch enginePrint media/radio/television/billboardsReferred by an existing memberOther (please state)PLEASE COMPLETEAs a benefit, The PSOJ publishes the information of its members on our website, in our Annual Report, and within our membership network. SignatureClear SignatureDate:REFERENCE INFORMATION:For the final approval of all membership applications please provide the following information. Referee:(Your referee must be an existing PSOJ member or your Company's Banker or Lawyer)Address:Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTelephone:Email:All data is kept in accordance with the PSOJ's Privacy PolicyPreviousSubmit
