MEMBERSHIP FORM

PLEASE READ THIS BEFORE FILLING OUT FORM

1. To pay by check, select Pay with ( ) check at the bottom of form, make a copy of the form and mail it with check to
Texas Housing Association, 1106 Santa Fe Trail, Duncanville, TX 75137

2. To pay by credit card, select Pay with ( ) credit card and continue using PayPal. 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
WEBSITE
MEMBERSHIP CATEGORY (insert "1" in front of the applicable amount)
 
For PHA Membership, "units" do not include Rural Development
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 (please submit ad for directory to txtha@texas.net--Word, JPG or PDF format) x $200 =
SUBTOTAL
Pay with check or credit card: handling charge
TOTAL