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Application Form

 

Name:
Title:
Company Name:
Address_1:
Address_2:
City, State Zip:
Tel:
Fax:
E-mail:

Company Activity:

Number of Employees:  

Approximate Annual Revenue

Industry Type:

Indicate the Membership Level where you  would like to be a member:
Binational  Regional  Corporate  Individual  Associate

Indicate the Chapter Office with which you wish to be affiliated:
 

 

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Membership Opportunities Exist at the Following Levels


Application Form

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U.S.-Mexico Chamber of Commerce
1300 Pennsylvania Ave., N.W., Ste. G-0003 Washington, D.C. 20004
Tel: 202-312-1520 Fax: 202-312-1530

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