CAH: MEMBRESÍA 2021

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:

• If you choose payment via check, send it to: Casa Argentina de Houston, 4740 Ingersoll, Suite 104, Houston TX 77027

• Si escoge la opcion Familia, por favor incluya los nombres de la pareja e hijos menores de 18 años aqui. If you choose the Family option, please include here the name of the couple and children up to 18 years old.

• Si desea colaborar o ser parte de alguna de las comisiones, indique su preferencia. If you wish to be a volunteer, please indicate your Committee preference.

  • Cultura
  • Deportes
  • Difusion (website, social media, other)
  • Fiestas
  • Socios
  • Solidaridad
  • Jovenes

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Estudiante / Student	$20.00
  Individual	$40.00
  Familia / Family	$65.00
  Benefactor	$130.00
  Circulo de Bronce/ Bronze	$250.00
  Circulo de Plata / Silver	$500.00
  Circulo de Oro / Gold	$1,000.00
  Circulo de Platino / Platinum	$2,500.00
  Platino Premier	$5,000.00
  Circulo Diamante / Diamond	$10,000.00
  Circulo Diamante Premier	$20,000.00

Information

• * Si Ud. es un nuevo socio, nos gustaría conocerlo mejor. Cuéntenos sobre usted, su trabajo, habilidades, pasatiempos, objetivos, familia, etc./ If you are a new member, we would like to know you better. Tell us about yourself, your work, skills, hobbies, goals, family, etc.
   characters remaining
• * Fecha de Nacimiento/ Date of Birth
• Comentarios / Comments

Additional Members Information

You may add a maximum of 20

Business Information

• La membresia 2021 es válida desde el 1de enero, 2021 hasta el 31 de diciembre 2021. CAH 2021 Membership is valid from January 1, 2021 to December 31st, 2021.