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Member Registration

Required fields are bold.

Company Information
Company Name:
CMBL ID:
Company Parent Name:
Business Type:
Legal Structure:
Year Business was Established:
DUN and Bradstreet Number:
Geographical Service Area:
Company Bonded:
CISV Status:

Contact Information
Company Information
Street Address:
Suite, Bldg:
Mail Routing Code:
City:
State / Zip:  /  
County:
Phone Number:
Alternate Phone Number:
Website (URL):
Primary Contact
First Name:
Last Name:
Salutation:
Title:
Address:
Suite, Bldg
Mail Routing Code:
City:
State / Zip:   /  
County:
Phone Number:   Ext.
Fax Number:
Mobile Number:
E-Mail Address:
Alternate Contact
First Name:
Last Name:
Title:
Mail Routing Code:
Phone Number:   Ext.
Fax Number:
Mobile Number:
E-Mail Address:

Products/Services
Select NAICS Code(s)  (TexasHUBs is strongly encourage registrant to provide the NAICS Code for business opportunities and benefits.)
To remove items from the list above, highlight the NAICS code and click Remove From List button.
 
Select NIGP Code(s) 
To remove items from the list above, highlight the NIGP code and click Remove From List button.
 
Description of company's main products/services provided to Texas (up to 500 characters)

TAH Membership
TAH Membership Type:
TAH Reference Source:
TAH Reference Contact Name:
 
Select Committee(s) 
To remove items from the list above, highlight the Committee and click Remove From List button.
 
HUB Certification
HUB Status:
HUB Majority Ownership Gender:
HUB Majority Ownership Ethnicity:
HUB Certificate ID:
Expiration Date:   (MM/DD/YYYY)
HUB Certificate:

References
List three current business customers (local or otherwise) which have been or are now your customers:
Company Name Contact Name Phone Number
 
Objectives for joining TAH (up to 500 characters)