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

$ Free

Certification Application Expediting FeeMinority-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 FeeExpired 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 ServicesMinority 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: