Application

Houston East End Chamber of Commerce
2009-2010 Membership Application

Please review committees and indicate those on which you would like to serve:

Company Name*

Owner/ President*

Owner/ President Email

Primary Representative*

Primary Representative Email*

Primary Representative Title

Website

Street Address*

City*

Zip Code*

Mailing Address (if different from above):

Telephone*

Fax

Business Classification (category listing for membership directory)

Number of Employees*

Referred by:

Dues Amount (See investment rates below. Optional $25 Scholarship donation may be added to dues)*

Questions marked with * denote required information.

1-5	200
6-10	250
11-25	350
26-50	450
51-100	600
101-200	800
201-300	1,100
301-400	1,600
400+	2,500
Depository Institutions	1,200
Non-profits Organizations & Non Business Individuals	100

Please make checks payable to:

Houston East End Chamber of Commerce

550 Gulfgate Center Mall

Houston, Texas77087-3022

(713)926-3305