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application for 30 day TRIAL membership

Trial Membership is for 30 DAYS ONLY (cost $50.00) and includes the following benefits:

Listing on our website
One member from your company may attend RAC events for FREE
Ability to Co-Sponsor Event

PAYMENT OPTIONS
WILL FOLLOW
AFTER YOU SELECT SUBMIT

Provide a category for your Website Directory Listing *

Company Website

City, State and Zip Code *

Address *

Company Name:

Last Name: *

First Name: *

Email: *

By clicking "submit" in this application, I affirm that the facts set forth above
are true and correct and hereby agree to conduct myself in a professional
manner pursuant to the rules and regulations of the
Russian American Chamber of South Florida

RUSSIAN AMERICAN CHAMBER OF SOUTH FLORIDA
Bringing People Together