Ecuadorian American Chamber of Commerce of Greater Miami

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Applicant Name
Firm Name
Title
Address
City
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Phone no.
Fax no.
E-mail
Nature of Business
Date of Birth (M/D)

THE UNDERSIGNED HEREBY APPLIES FOR MEMBERSHIP IN THE ECUADORIAN AMERICAN CHAMBER OF COMMERCE OF GREATER MIAMI, AND DECLARES THAT THE APPLICANT SUBSCRIBES TO THE AIMS AND PURPOSES OF THE SAID CHAMBER AS SET FORTH IN THE BY-LAWS OF THE CHAMBER.

Fees (per year):

	INDIVIDUAL	US$100.00
	CORPORATE	US$250.00

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