MEMBERSHIP APPLICATION

Please copy and paste on an e-mail , and fill out as appropriate. Our e-mail address is info@peruvianchamber.org 

 Please make your payment using our PayPal shopping cart below.

PERUVIAN AMERICAN CHAMBER OF COMMERCE

In accordance to the type of membership selected.

Company Name:_>  

Representative(s):_>  

Title(s):__>  

Address:__>  

City:_____>  

State:____>  

Zip:_____>  

Phone:__ >  

Fax: ____>  

E-mail: __>  

 The Undersigned hereby applies for membership in the Peruvian American Chamber of Commerce of Florida, and declares that the applicant subscribes to the aims and purposes of the said Chamber as set forth in the bylaws of the Chamber.

   Membership Type_>

   Signed___>

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ANNUAL MEMBERSHIP FEES

 

TRUSTEE( $ 500.00)       

. .
CORPORATE ($ 125.00) 

. .
PERSONAL ($ 50.00)  

. .
JUVENIL  ($ 25.00)

 

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