SGVHCC Membership Registration

Business / Organization or Individual Name *

First NameLast Name

Business Category

(Your Business will be listed with those of similar in your field)

Primary Contact Person

Physical Address:*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Please indicate if this address could be listed online*

YesNo

E-mail*

Phone Number:*

Area CodePhone Number

What is your Social Media and Website:

Special Skills of Your Business (Optional):

My Products

Silver($1,045.00 for the first payment then,$1,000.00 for each year)

Advertise your company logo on all our social media.

Gold($1,545.00 for the first payment then,$1,500.00 for each year)

Advertise your company logo on all our social media & website. Add your company logo to our banner that is displayed in our seminars X3 out of the year.

Platinum($2,045.00 for the first payment then,$2,000.00 for each year)

Advertise your company logo on all our social media & website. Bring your own company banner to our monthly seminars. 10-minute speech X3 in one year. Bring your both once a year to our gatherings. 1 Event out of the year to promote your business.

Individual($120.00 for the first payment then,$75.00 for each year)

Individual Membership / For one person only.

Credit Card

By signing below, I certify that my business holds all required licenses.

Signature

By clicking the "Pay Now" button you are submitting your online application and agree to sign up for a recurring annual membership. Once we receive your payment, we will contact you about your Membership.

Thank you!