MEMBERSHIP APPLICATION

DATE:

I hereby make application for Resident Membership

NAME:

RESIDENCE:  

CITY: STATE: ZIP:

FIRM NAME:

BUSINESS ADDRESS:

CITY: STATE: ZIP:

OCCUPATION: SPONSORED BY:

HOME TEL. NO.: BUSINESS TEL. NO.:

E-MAIL:

SEND CORRESPONDENCE TO:  Business Home

Membership dues are $200.00 per year. On approval of the application, an invoice will be mailed to you.  Upon receipt of membership dues, a membership card will be sent.

Please remit dues to: The Foreign Commerce Club of New York - P.O. Box 61686 - New Dorp Station - Staten Island, New York 10306-61686

Sincerely,

Foreign Commerce Club of New York