Credit Card Authorization (Membership & Certification)

Credit Card Authorization

Please complete this form to process payment for membership and certification
I, First Name* Last Name* of Company Name* consent and authorize the Houston Minority Supplier Development Council to charge my credit card for the following: Reason for charge*.
Email Address*
example@example.com
Telephone Number*
Please enter a valid phone number.
Signature Signature* Date Date*

Certification/Recertification Fees

Certification/Recertification

Certification/Recertification Fee

Minority-owned businesses seeking to become certified by the HMSDC who could not process the fee for certification via the online certification portal can process credit or debit card payments here. (Please send email to certification@hmsdc.org when payment is processed using this method)

$ Free

Additional Fees for Incorrect Sales

If your sales were input incorrectly in our online server, please complete the payment for the difference in fees.

$ Free

Certification Application Expediting Fee

Minority-owned businesses may use expedite services, which is a 10-business-day turnaround processing from the date of receipt of the last document required, to complete the new application process.

$350.00

Recertification Application Expediting Fee

Expired MBEs may use expedited services, which is a 2-business-day turnaround processing from the date of receipt of the last document, to complete the HMSDC & HUB recertifications.

$150.00

Subscription Services

Subscription Services

Minority Business Enterprises (MBEs) certified by another regional council within the National Minority Supplier Development Council (NMSDC) network, can join the HMSDC as a Subscriber.

$ Free

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: