Membership Renewal Thank you for being a valued member of the BelCham community. BelCham is a non-governmental, not-for-profit organization that exists for its members, by its members. We want to sincerely thank you for your continued participation in our community by your membership. Please fill out the below form to renew membership for an additional year. Membership Levels: Young Individual Membership: USD 50.00/Year Individual Membership: USD 200.00/Year Business Membership: USD 800.00/Year Patron Membership: USD 2,500.00/Year Captain Membership: USD 10,000.00/Year For any inquiries about membership, please contact: Daniel Atz, Member Manager Tel: 00 1 646 564 6643 Email: email@example.com Name* First Last Email* Phone*Company*Renewal Membership Level*Young Individual Membership - $50Individual Membership - $200.00Business Membership - $800Patron Membership - $2500.00Captain Membership - $10000Payment Method*Bank Card or PayPal AccountWire Transfer or CheckTransaction id EmailThis field is for validation purposes and should be left unchanged.