ICTAU Membership Application
ICT Association of Uganda · Registration Form
Corporate Member
Company Information
Company Name
*
Company Website
Phone Number
*
Company Email
*
Area of Speciality / Niche
*
Documents
Company Logo
*
Click to upload logo
PNG or JPG · square preferred
Proof of Payment
*
Click to upload
Image or PDF
Contact Persons
Contact Person 1
Primary
First Name
Last Name
Phone Number
Email
Contact Person 2
First Name
Last Name
Phone Number
Email
Contact Person 3
First Name
Last Name
Phone Number
Email
I confirm that the information provided is accurate and I authorise ICTAU to use it to process my membership application and contact me.