Business Partner Membership Application
To apply for membership please complete all questions. A Business Partner may add up to four employees as additional Individual Members.
Name of Business
*
Name
*
First Name
Last Name
Job title:
*
EX: Executive Director
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Office Number
*
Cellular Number
*
Work Number
Website
*
Add Additional Members
Please List up to Four additional Individual Members. Please enter their Full Name, Email address and Phone Number.
1. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
2. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
3. Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
4. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Type of Business
*
EX: Food Service, Bank, etc.
Geographic Area your Organization serves
*
Topics you are interested in learning about:
Are you interested in serving on a committee?
*
Yes
No
Not at this time
Are you interested in sponsoring events?
*
Yes
No
Not at this time
Please Share your Organization Logo
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As a member of The Dallas Legacy Mission Coalition of Hispanic Nonprofits of North Texas - TDLMCHNNT - You agree that you grant us permission to share your name, organization information, logo, photographs on social media, newsletter, and website.
*
Yes
No
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Business Partner Membership
$
200.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Apply for Membership
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