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Member Application: |
| * Company Name: |
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| * Phone: |
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| * Physical Address: |
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| * City/State/Zip: |
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| Country: |
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| Mailing Address: |
Same as physical address
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| City/State/Zip: |
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| Country: |
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| Business Category: |
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| Employees: |
Full-time:
Part-time:
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| Comments/Questions: |
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Primary Contact Information: |
| * Name (First / Last): |
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| * Phone: |
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| * Email: |
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| Contact Preference: |
Email
Phone
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| Address: |
Same as Company Address
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| City/State/Zip: |
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| Country: |
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| Membership Package: |
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| Basic Fair Share 1-5 Employees: $200.00
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| Basic Fair Share 6-10 Employees: $230.00
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| Basic Fair Share 11-20 Employees: $260.00
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| Basic Fair Share 21-30 Employees: $315.00
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| Basic Fair Share 31-50 Employees: $375.00
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| Basic Fair Share 51-75 Employees: $430.00
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| Basic Fair Share 76-100 Employees: $460.00
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| Basic Fair Share 151-200 Employees: $575.00
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| Basic Fair Share 151-200: $690.00
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| Basic Fair Share 200+ Employees: $805.00
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| Associates: $200.00 Businesses who provide goods and services but do not maintain an office in Weslaco |
| Non-Profit, Clubs, Individuals, Etc.: $115.00 Non-profit organizations, individuals, civic clubs, organizations, church groups |
| Professionals: See fee schedule to determine the fee and enter it below. Accountants, architects, attorneys, dentists, engineers, physicians, realtors: $200 plus $50 per additional associate |
| Institutions: See fee schedule to determine the fee and enter it below. Financial Institutions, Manufacturers, Hospitals, Utilities: $460 base fee plus $2 per employee |
| Hotels/Motels: See fee schedule to determine the fee and enter it below. $200 Base up to 25 rooms plus $2 for each additional room over 25 |
| Mobile Home, Rec-Veh Parks: See fee schedule to determine the fee and enter it below. $200 base up to 50 spaces plus $.50 for each space over 50 |
| Entrepreneur: See fee schedule to determine the fee and enter it below. Additional Benefits apply |
| Executive: See fee schedule to determine the fee and enter it below. Additional Benefits apply |
| Corporate: See fee schedule to determine the fee and enter it below. Additional Benefits apply |
| VIP: See fee schedule to determine the fee and enter it below. Additional Benefits apply |
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  If using fee schedule, enter fee here:
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| Additional Opportunities: |
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We will contact you with additional information. |
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| Payment Option: |
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Bill me Charge my credit card |
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| Submit Application: |
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Enter the CAPTCHA words, then press the Submit Application button.
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Submit Application
Print Application
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