HACSC Membership Application
Please review all membership & billing policies before completing all information in this application .

TERMS & POLICIES

Membership Fee: $200 Annually

Make your check payable to HACSC, Inc. and mail to:
Attn: Accounting
1301 W. 13th St.
Deer Park TX, 77536

Or contact the accounting department to arrange payment by credit card.

The $200 annual membership fee is due each year by January 1. Payments not recieved by January 15 will result in cancellation of membership including all benefits such as billing priviledges, online registration, and discounted prices.

Accounts Receivable Collection Policy

Members may have billing privileges.

Non-Members will pay at the time of training by cash and/or company check at check-in.

Billing Policy for Members:

We require a membership application to be on file.

All invoices are due within 30 (thirty) days of invoice date.

Late Payments:
If invoices go beyond that guideline the following will be applied:

  1. If payment is not received within 45 (forty-five) days of invoice date, a late fee will be applied effective on invoices dated after January 1, 1999. The late fee will be 18% per annum of amount due past 45 days. Only prior written approval can waive the late fee.
  2. At 60 (sixty) days past due, we will send a certified letter stating consequences if payment is not received. The late fee will continue to accrue every 30 days.
  3. At 90 (ninety) days past due, we will send a certified demand letter. The letter will state that
    the account will be placed on a cash only basis and if payment is not received within 10 days of receipt, all services will be suspended. At this time, the membership will be temporarily revoked and non-member prices will apply.
  4. At 180 days, we will file against the company in small claims court.

We demand payment on any account 30 days or more in arrears at any time.

The Accounting Manager or Executive Director can make special considerations and/or other arrangements on an individual basis with prior approval.

RETURNED CHECKS:

First offense -Must be replaced within 10 days and will be penalized a $15.00 NSF charge.

Second offense -Must be replaced within 10 days and will be penalized a $15.00 NSF charge. In addition, a member company's membership will be revoked and be changed to non-member status.

HACSC will only accept cash or a cashiers check from any company after two returned checks.

CREDIT BALANCES:
Credit balances on accounts are to be researched and approved by the Accounting Manager or Executive Director prior to refunding. If the company is not current, the credit balance will be applied to remaining invoices.

Email us if you have any questions.

Please Complete All Information:

Company Name:

Billing Address:

Street:

City:
State:
Zip:

Billing Contact:

Name:
Phone:
Fax:
Email:

 

Please provide the following contacts for your company:

CEO/President:

Mailing Address:

Street:

City:
State:
Zip:
Phone:
Fax:
Email:  

Training/Safety Manager:

Mailing Address:

Street:

City:
State:
Zip:
Phone:
Fax:
Email:

By submitting this form, I have read and understand the information above and agree with the terms and policies established by HACSC, Inc. in granting my company billing priviledges as a member.