Hispanic Chamber - Application

Business Name*

Principal/Business Owner Name*

First NameLast Name

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Phone Number*

Email*

Website*

Number of Employees

Number Offices or Virtual

Business Category*

Is there an additional contact to share?*

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Name

Title

Email

Business Phone Number

As a member, please check all interest.*

My Products*

Standard Member For individuals and small businesses. Certificate of membership. Attend free workshops and business meetings. Opportunity to be in leads groups, ambassadors, chamber committees. New member welcoming via Facebook. Subscription to ACCESS magazine.

$100.00 for each year

Executive MemberAll of standard membership benefits plus; eligible to host monthly mixer. Eligible for Grand Opening & ribbon cutting. 3 Email blasts per year to promote business/events. Facebook welcoming will promote business link.

$500.00 for each year

Corporate MemberAll above benefits plus, 8 email blasts per year to promote business/events. Spotlight table opportunity at a business mixer. Presenting workshop Opportunity. Eligible to include marketing materials in member orientation packets.

$1,000.00 for each month

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Hispanic Chamber of Silicon Valley Member Application

Business Information

Yearly Membership Level

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