ONLINE MEMBERSHIP FORM - For Credit Card Payment ONLY

PLEASE READ THIS BEFORE FILLING OUT FORM

1. This form is ONLY for paying with a credit card
2. To cover our extra cost for taking credit cards, a 3% handling charge will be added to your total payment amount
 
MEMBER INFORMATION
PHA/COMPANY
EXECUTIVE DIRECTOR/CONTACT PERSON
FOR ASSOCIATES: PRODUCT/SERVICE
ADDRESS
CITY
STATE
ZIP
PHONE
EMAIL
MEMBERSHIP CATEGORY (insert "1" in front of the applicable amount)
 
For PHA Membership, "units" means all units but Rural Development and straight Tax Credit
PHA 0 - 50 units x $50 =
PHA 51 - 150 units x $90 =
PHA 151 - 300 units x $155 =
PHA 301 - 600 units x $220 =
PHA 600 and > units x $300 =
Associate Membership x $200 =
SUBTOTAL
3% handling charge
TOTAL