PERUVIAN AMERICAN CHAMBER OF COMMERCE

MEMBERSHIP APPLICATION

 Please make your payment using our PayPal shopping cart below, in accordance to the type of membership selected.

PERUVIAN AMERICAN CHAMBER OF COMMERCE

In accordance to the type of membership selected.

Please complete this form:

Company or Applicant 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 confirms that the applicant will subscribe to the objectives and purposes of the Chamber as set forth in the bylaws of the Chamber.

Membership Type:
Signed:

 

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ANNUAL MEMBERSHIP FEES

 

TRUSTEE( $ 750.00)       
. .
CORPORATE ($ 200.00) 
. .
PERSONAL ($ 75.00)  
. .
STUDENT  ($ 25.00)

 

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