STUDENT MEMBERSHIP APPLICATION
Brazil-Tampa Bay Chamber of Commerce
P O BOX 6338 - BRANDON, FL 33508

Print and complete this form, and mail it to the above address, along with your check made payable to Brazil-Tampa Chamber of Commerce, Inc. Annual dues for 2005 are $50.00 for Student Membership, and $65.00 for recent graduates/MBA Students.

NAME: _________________________________________________________________________ 

MAJOR: _________________________________ YEAR OF GRADUATION:_________________ 

SCHOOL: _______________________________________________________________________ 

MAILING ADDRESS: ______________________________________________________________ 

CITY, STATE, ZIP: ________________________________________________________________ 

HOME PHONE: _______________________ BUSINESS PHONE: __________________________ 

E-MAIL: ____________________________WWW: ______________________________________ 

DESCRIPTION OF YOUR SKILLS:
________________________________________________________________________________

________________________________________________________________________________

Regions in which you would like to find intership opportunities (optional): 

___ Argentina      ____ Brazil      ____ Bolivia       ____Chile      ____ United States  

Areas of Interests (select one four, see below):
1. Accounting services 
2. Advertising/public relations 
3. Associations 
4. Attorneys 
5. Banks/financial institutions 
6. Communications providers 
7. Consultants 
8. Distributors 
9. Export/import trading & management 
10. Freight forwarders/customs brokers 
11. Government agencies/officials 
12. Insurance agents/providers 
13. Manufacturers 
14. Real estate services 
15. Retailers 
16. Schools/education/
17. Students exchange program
18. Translation services 
19. Transportation providers 
20. Utilities 
21. Other: _____________________________________________ 
If your are a recent graduate, please provide us more information about your goals
MEMBERSHIP BENEFITS