Deadline: Friday, February 12, 2010

NOTE:  IT IS IMPORTANT THAT YOU COMPLETE THE BLANKS BELOW AS THE 2010 MEMBERSHIP DIRECTORY WILL BE COMPILED FROM THIS INFORMATION.  PLEASE MAKE NECESSARY CHANGES FOR OUR DATABASE.
Click here to download a printed version to fax or mail to 11152 Westheimer #806, Houston Texas 77042, fax 713-783-2298.

Company Information:
(Card Holder)
Title:
First name:
Last name:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Type of Company:

  Please charge this credit card $75 as payment for 2010 H.P.F. Membership costs.

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(Please enter your credit card's 3 or 4 digit code located on the back of Mastercard and Visa or front for AMEX)

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