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
*
Please List up to four employees as additional Individual Members. Please enter their Full Name, Email address and 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
Please click one of the PayPal options to complete payment and
submit
the form.
Apply for Membership
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