|
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___>
====================================================================
ANNUAL
MEMBERSHIP FEES

| TRUSTEE( $
500.00) |
|
| . |
. |
| CORPORATE ($ 125.00) |
|
| . |
. |
| PERSONAL ($ 50.00)
|
|
| . |
. |
| JUVENIL
($ 25.00) |
|
|