HKASC Young Executive Club (YEC) Membership Application
Name
*
First Name
Last Name
Age
*
Under 25
26 - 35
36 - 45
Over 45
Contact Email
*
Phone Number
*
-
Area Code
Phone Number
Job Title
*
Company
*
Website
Address (Street)
*
City
*
State, Zip Code
*
Location of Business (Which County)
*
Los Angeles
Orange County
San Diego
Inland Empire
Nature of Business
*
Accounting/CPA Service
Advertising & Public Relations
Airline
Architecture & Planning
Bank
Beauty, Health & Wellness
Collection & Credit
Consulting/Research/Professional Service
Education & Training
Environmental Service
Entertainment & Performance
Finance & Investment
Food Business/Restaurant
Government
Information Technology
Insurance
Legal Service/Attorney
Manufacturer/Wholesale & Distribution
Media/Multi-media Production
Medical Service
Non-profit Organization
Printing/Publishing
Real Estate & Related Service
Retail
Telecommunications
Trading/Import/Export
Trade Promotion
Travel & Tourism
* Must maintain HKASC Main Membership.
Please select one of the following options:
*
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YEC Individual Membership - 1 Year
Age <= 45; includes one year of HKASC Individual Membership ($40 waived).
$
100.00
YEC Individual Honorary Membership - 1 Year
Age >= 45; includes one year of HKASC Individual Membership ($40 waived).
$
100.00
YEC Individual Membership - Lifetime
Age <= 45; includes two years of HKASC Main Membership.
$
500.00
YEC Individual Honorary Membership - Lifetime
Age >= 45; includes two years of HKASC Main Membership.
$
500.00
YEC Corporate Membership - 1 Year
Includes up to 3 members with at least one member age <=45, and one year of HKASC Corporate Membership ($200 waived).
$
1,000.00
Credit Card
Corporate Members
can add up to a total of 3 name listings. Please fill out below if any:
Name Listing #2
First Name
Last Name
Title
For name listing #2
Contact Email
For name listing #2
Name Listing #3
First Name
Last Name
Title
For name listing #3
Contact Email
For name listing #3
Please provide a short profile of your company:
What kind of products &/or services can you provide to the members of the YEC?
What do you expect from your membership in the YEC? Any other questions/comments?
Referred by:
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