:: U.S INDIA ::




	Matchmaking Events

	Networking Events

	Trade and Invesment Seminars

	Roundtable discussions

	Executive Briefings

	Outbound Trade Missions

	Customized Research Services

	Reciprocal Services from World Trade Centers Worldwide

	Meeting Facility Services

	Newsletters

Membership Application:

Last Name :

Middle Name :

First Name :

Company :

Title :

Industry :

Company Address :

*Please check the appropriate box of the membership level for which you are applying:


	Membership Level:	Dues:

	Large Company	$1,000 (Annual)


	Medium Sized Company	$500 (Annual)



	Small Company	$250 (Annual)



	Entrepreneur	$100 (Annual)


	Student	$50 (Annual)


	Total Amount Due :	_________________

*Full membership offers members use of all facilities and resources of the Chamber, as well as invitations to general meetings and to all Chamber events. All membership fees are nontransferable.

Payment Information

Method of Payment :		Check Check #: ________________________________

		* All Checks should be made payable to the US India Chamber of Commerce Midwest.

		Master Card Visa AmEx

		Card #: _____________ Exp. Date : ______________________

		Signature : ____________________________________________

I have completed this application for membership to the U.S. India Chamber of Commerce Midwest, Inc and hereby certify that the information contained within is true and accurate to the best of my knowledge.