New
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Renewal
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Company Name: |
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Date: |
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Street Adress $ Suite: |
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Year Established: |
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City: |
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State & Zip: |
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# of employees
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Telephone: |
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Fax: |
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www: |
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E-mail: |
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Contact (title, Name): |
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% Hispanic Ownership |
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Contact Phone: |
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Contact e-mail: |
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2nd Contact Name & E-mail: |
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How did you hear about HCCNVA? (Referral Name) |
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Certifications (SBA 8(a), Minority, etc) Please E-mail a full company description to: info@hccnva.org |
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One Year Standard Voting Membership Rates: |
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Number of Employees |
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Non Profit |
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1-10 |
$225 |
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11-50 |
$450 |
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51-100 |
$700 |
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101-200 |
$950 |
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201-400 |
$2 450 |
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401 |
$2 950 |
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Budget under $1.5 Million |
$225 |
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$1.5 to $3.5 Million |
$450 |
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$3.5 to $5 Million |
$950 |
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$5 to $10 Million |
$1 200 |
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Over $10 Million |
$1 450 |
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Trade Association |
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Corporate Packages/Sponsorship |
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Budget under $2 Mil. |
$225 |
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$2 to $5 Million |
$475 |
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$5 to $7.5 Million |
$700 |
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Over $10 Million |
$1 450 |
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Platinum |
$8 500 |
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Gold |
$6 500 |
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Silver |
$3 500 |
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Bronze |
$1 000 |
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Non Voting Membership - Foreign Trade Association/Chamber of Commerce $300 |
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Payment Method |
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Send Invoice |
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Check Enclosed |
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Credit Card |
Name (As it Appears on the card): |
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(visa, MC, AE, Discover) |
Card Number : |
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Exp. # |
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Credit Card charge will appear as: Arauco Corp.
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