Small Business Program Online Application

Thanks for your interest in becoming a Small Business member of the HCA. Please complete the following secure online form by answering questions about your company, your social media presence, company contacts, and the size of your company.

The Small Business Membership fee is $500.00 (each year) for the first two years. All applications will be reviewed by the HCA Executive Vice President and presented to the HCA Small Business Committee. Once you press the submit button, you will be taken to a new page that will process your payment of $500. (Please ignore the non-member error message if one appears.)

Company Name *
Type of Service Provided *
Mailing Address *
City		State *
ZIP Code *
Company Website
Primary Contact Person *
Title *
Contact Email *
Contact Direct Phone Number *
If Yes, Facebook profile URL		Company Twitter Profile?	Yes No
Company Instagram Profile?	Yes No	If yes, Instagram profile URL
Company LinkedIn Profile?	Yes No	If yes, LinkedIn profile URL
Owner / President Name *		Accounts Payable Name *
Accounts Payable Email *		Other Contact Email
Other Contact Name 2
Volume of public or private work performed last year *
Number of employees *		Are you the Sole Owner or an employee of this company
Volume of work in previous calendar year *
Number of years the company has been in business *		Are you currently registered with the City of Houston as a MWSBE?	Yes No