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Membership Application |
| Name | ___________________________ |
| Property/Company Name | ___________________________ |
| Address | ___________________________ |
| Phone | ___________________________ |
| ___________________________ | |
| Website | ___________________________ |
| FAX | ___________________________ |
| __ LODGING | $4.50/Guest Room ($150 minimum) |
| __ ASSOCIATE | 1-9 Employees.......$200 |
(circle one) |
10-24 Employees.......$300 |
| 25-44 Employees.......$400 | |
| 45+ Employees.......$550 | |
| __ STUDENT $10/Year | |
| Signature | ___________________________ |
| Date | ___________________________ |
| Print out this form and send with payment to: HMAVC 140 S Beach St, #101 Daytona Beach, FL 32114 |
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