Houston Business Listings

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Houston Business Listings document sample

Document Sample
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							                                                                                                     MEMBERSHIP APPLICATION
GREATER HO UST N CONVENTIO N & VISITORS BUREAU  901 BAGBY, SUITE 100  HOUST N, TX 77002  (713) 437-5256  (713) 227-6331 FAX
              O                                                              O
Please fill out and return this form with your payment to The Membership Sales Department. We must receive this completed form in order to include
your business in our official membership listings.

COM PANY

ADDRESS

CITY                                                              STATE                                                ZIP

PHONE      (      )                                  EXT.                 TOLL FREE      (       )                        FAX      (       )

E-M AIL                                                                  WEB SITE ADDRESS

COMPANY DES CRIPTION (20 WORDS OR LES S )




MAILING MAIN CONTACT                                                                         TITLE

ADDRESS (IF DIFFERENT THAN ABOVE) ___________________________________________________________________________________________ ___________

BILLING CONTACT (IF DIFFERENT)                                                               ADDRESS

CITY                                                              STATE                                                ZIP

Please specify the location area of Business Office:
                 Alvin/Friendswood/Pearland                                                      Medical Center/Reliant Park
                 Bay Area Houston                                                                Upper Kirby/Highland Village
                 Bush Intercontinental, Greenspoint                                              Uptown Park/Galleria
                 Conroe                                                                          West Houston
                 Downtown, Montrose, The Heights                                                 West University
                 East Houston                                                                    The Woodlands
                 Galveston
                 Greenway Plaza                                                                  Other
                 Hobby Airport

                               ANNUAL MEMBERSHIP INVESTMENT                                  $
PAYMENT OPTIONS :                                                                                                  RECEIVED:
   CHECK                                                                                                           Date:           ____/____/____
   MONEY ORDER                                                                                                     Check #         _________________
   CREDIT CARD (AM. EXP./VISA/MC)                                                                                  By              _________________

CARD NUMBER

EXPIRATION DATE                      /           /


CATEGORY/CATEGORIES REQUES TED:


                                                                                                     *First April prorate amount
MEMB ERS HIP AGREEMENT:
1.   We do hereby agree to participate as a subscribing member of the Greater Houston Convention & Visitors Bureau and hereby agree to make full
     payment of a one year membership pledge commencing with the effective date of this application.

2.   The renewal period for membership is April each year. Up on renewal, I agree to give the M embership Department written notification of
     cancellation within 60 days of the first statement. If payment or notice has not been given within this period, I understand my membership will be
     terminated automatically and all benefits will cease until payment is received.

S IGNATURE                                                        TITLE                                             DATE               /       /


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