MEMBERSHIP APPLICATION

DUES
$260 for the first person from your firm.
$185 for the second member from the same firm
$110 for each additional member.
NOTE: It is estimated that 15% of your dues will be non-deductible for state & federal income tax purposes for 2012. You will be advised in January 2013 the exact percentage.
No portion of your membership dues will be used for the Commercial Development PAC.
Yes, I want to contribute to the Commercial Development PAC.
Amount($)
PAC contribution may be included in dues check.
Company Name
Address
City, State, Zip
Telephone
Fax
Website
Referred by

First Member
Name
Title
Email


Additional Member(s)
Name
Title
Email




PLEASE REMIT TO:
HRACRE
4665 South Blvd., Suite B
Virginia Beach, VA 23452
To pay by credit card, or for more information, please call (757) 481-2494.