Patron Form "*" indicates required fields Step 1 of 2 50% We are excited to introduce the newly created Houston Chemical Association’s Patron’s Program, designed to provide our active members with exclusive advertising opportunities across multiple HCA platforms. Here is how it works: Gold Patron Level – One Calendar Year (July 1st thru June 30th) Price - $300.00 Company name and logo prominently displayed as a Gold Patron on the “Patron’s Page” of the HCA website with a clickable link to your company’s website. Recognition as a Gold Patron at monthly luncheons via- Name tags for all HCA members of Gold level companies to have ribbon acknowledging Gold level status. Signage recognizing and acknowledging Gold level companies. Company name featured in PowerPoint presentations before luncheons. Silver Patron Level – One Calendar Year (July 1st thru June 30th) Price - $200.00 Company name and logo displayed as a Silver Patron on the “Patron’s Page” of the HCA website with a clickable link to your company’s website. Bronze Patron Level – One Calendar Year (July 1st thru June 30th) Price - $100.00 Company name and logo or individual patron’s name listed on the “Patron’s Page” of the HCA website. No direct link to your company website. Note: Prices presented on the form are prorated quarterly based on the month of activation. This field is hidden when viewing the formMonthBusiness or Personal Patron* Business Personal (non business) Name* First Last Email Address* Company Name*Company Website* Contact Number*Gold Level Patron (JUL-SEP) Price: Gold Level Quantity (JUL-SEP)01Gold Level Patron (OCT-DEC) Price: Gold Level Quantity (OCT-DEC)01Gold Level Patron (JAN-MAR) Price: Gold Level Quantity (JAN-MAR)01Gold Level Patron (APR-JUN) Price: Gold Level Quantity (APR-JUN)01Silver Level Patron (JUL-SEP) Price: Silver Level Quantity (JUL-SEP)01Silver Level Patron (OCT-DEC) Price: Silver Level Quantity (OCT-DEC)01Silver Level Patron (JAN-MAR) Price: Silver Level Quantity (JAN-MAR)01Silver Level Patron (APR-JUN) Price: Silver Level Quantity (APR-JUN)01Bronze Level Patron (JUL-SEP) Price: Bronze Level Quantity (JUL-SEP)01Bronze Level Patron (OCT-DEC) Price: Bronze Level Quantity (OCT-DEC)01Bronze Level Patron (JAN-MAR) Price: Bronze Level Quantity (JAN-MAR)01Bronze Level Patron (APR-JUN) Price: Bronze Level Quantity (APR-JUN)01When would you like to pay?* Pay Now Contact Mary to arrange payment Total Agreement* By submitting this form, you agree to pay now via credit card or make payment arrangements with Mary Martinez.