MEMBERSHIP APPLICATION

By submitting my application in your Association, I hereby acknowledge that I have reviewed the Association’s ByLaws as well as the Antitrust and Non-Solicitation Policies on the attached page, and further promise to conform to the regulations as prescribed therein.

Name*

First Last

Title*

Email Address*

Cell Phone*

Company Name*

Nature of Busines*

Please describe the nature of your business*

Business Address*

Street Address Address Line 2 City State ZIP Code

Business Phone*

Business Fax

Website

Birth Month*

Birth Date*

Residence Address*

Street Address Address Line 2 City State ZIP Code

Please state the address which you prefer to receive association mail*

Business

Home

Referred By (HCA Member Name)

The above HCA member is personally acquainted with the applicant and is interested in their becoming a member of the Association. They believe the applicant is qualified, will actively participate in and support the Associations activities and will be a credit to the organization.

ANTITRUST POLICY

The Houston Chemical Association is organized to foster education of chemical manufacture and distribution and to promote the general interests of manufacturers and distributors of chemicals. These worthwhile activities are sanctioned by custom and by law. It is important, however, to recognize that these activities are subject to the legal limits of state and federal antitrust laws. These laws cover a variety of activities, including combinations in restraints of trade, monopolization and discriminatory pricing.

It is the express policy intention of the Houston Chemical Association to comply at all times with all existing and future laws concerning antitrust. It is further the intention that all members of the Houston Chemical Association should comport themselves at all times so as to avoid even the appearance of a violation of any of the antitrust laws.

A set of circumstances may be entirely innocent, and lawful when viewed separately. But the same set of circumstances, when viewed in the aggregate may be held to constitute a conspiracy. To this end, we would recommend that you avoid any discussions with competitors about customers or matters involving price, sales terms, territories, production or any element of competition. This is equally important in informal social gatherings and official meetings.

Violation of the Houston Chemical Association antitrust policy is ground for removal of the member from the association.

NON-SOLICITATION POLICY

Members and guests shall conduct themselves in a professional manner at all association meeting, luncheons, and events. Mass solicitation and solicitation during association meetings, luncheons, and other events is strictly prohibited.

Please state the nature of your business and how it relates to the chemical industry AND list any other clubs, societies or fraternal orders of which you are a member:*

****PLEASE DO NOT SEND PAYMENT UNTIL NOTIFIED TO DO SO****

If approved in Jul-Aug-Sep, make payment of $100 (includes 1-time $40 Initiation Fee plus $60 full annual Membership Dues)
If approved in Oct-Nov-Dec, make payment of $85 (includes 1-time $40 Initiation Fee plus $45 pro-rated Membership Dues)
If approved in Jan-Feb-Mar, make payment of $70 (includes 1-time $40 Initiation Fee plus $30 pro-rated Membership Dues)
If approved in April or May, make payment of $45 (includes 1-time $40 Initiation Fee plus $5 pro-rated Membership Dues)
If approved in June, make payment of $40 (includes 1-time $40 Initiation Fee plus $0.00 pro-rated Membership Dues)