700 Louisiana St., Suite 3400, Houston, TX 77002 www.AmericanRussianChamber.org
Name
Position
Organization
Phone
E-mail
Membership Category (please check one)
___ Sponsor member - $5,000 per year (permitting up to five individuals to participate as members)
___ Corporate member -$2,000 per year (permitting up to three individuals to be members)
___ Business member - $1,000 per year (permitting up to two individuals to be members)
___ Individual member - $500 per year (one person as member)
___ Associate member - $100 per year (available to students and members of academia)
If you would like to join a Committee, please check one:
__ Membership Committee __ Programs Committee __ Special Events Committee
The payment deadline for membership dues for the year 2007 is March 30, 2007. Applicants will be contacted by email or phone by March 30, 2007 with information regarding the payment details.