REGISTRATION FORMS – proudly zambian campaign

PZC MAIN ONLINE REGISTRATION FORMS

PZC Main Registration Form

Organisation Name:

Industry

Sector Classification:

Product or Service being applied for: (e.g. name of product, service, corporate branding)

Physical and Postal Address :

Province:

District:

Fax:

Phone

Annual Turnover

ZMW 0 - 300,000

ZMW 301,000 - 500, 000

ZMW 501,000 - 800,000

ZMW 801,000 or more

No. of Employees

1-9

10-49

50-249

250 or more

(1)Principal's Name:

Designation

Phone

(1)Principal's Name:

Designation

Phone

(1)Principal's Name:

Designation

Phone