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MEMBERSHIP APPLICATION

Date
Name
Home Address
City
State
Zip Code
   
Business/Company
Business Address
City
State
Zip Code
Position
Home Phone
Business Phone
Business Fax 
Cellular Phone
E-Mail
Web Site Address
Company or  Personal Bio
   

Membership Level & Directory Classification

Major Corporation ........ $1000
1 to 5 employees....... $150
Charter Member .......... $500
Not for Profit Corp. ........ $125
Company / P. A.  6 or more employees....... $250
*Individual ......... $100
   
* Please note:  In future Directories or Web-Site listings, individual membership does not list professional designation or company affiliation.
   
** Membership is on an annual basis from the time of the receipt of your membership application and fee.
 

  *** ATTENTION NEW MEMBERS
Upon receiving your application and fee The Chamber will provide you with 3  months of  free advertising for you and/or  business in the New Members  page of our website.  

Please submit with your application either by mail or e-mail a photo of yourself and logo of your business to be used for your free ad. As well please include a personal bio  of yourself or a description of your business so that we can include it in the ad. If you prefer not to use a photo you may send just send a logo.  

If you can not provide us with a digital version we can scan any picture or logo you might want to use. Any pictures or materials sent to us will promptly be re-sent back to the sender.

Please submit all information to our office at: 
PRCCSF
3550 Biscayne Blvd, Suite 305
Miami,Florida 33137
 
or e-mail info or questions to hmojica@puertoricanchamber.com.

   
We apologize for the technical problem we are having with the forwarding of your applications. 
We ask that you
print this page and fax to the Chamber office at 305-571-8007. 
Please feel free to call the office to confirm your application has been
received.

Thank you.....

Referred by

Signature

 

  
Puerto Rican Chamber of Commerce of South Florida
3550 Biscayne Blvd, Suite 306 * Miami, FL 33137 * Tel: 305-571-8006 * Fax: 305-571-8007
ldr@puertoricanchamber.com

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