MEMBERSHIP APPLICATION

MEMBERSHIP APPLICATION
Welcome to The Hispanic Coalition of North Texas' membership application! Our mission is to empower and support Hispanic communities across North Texas. Through this platform, we aim to connect businesses, organizations, and individuals to valuable resources, networking opportunities, and advocacy. Join us in building a stronger, united community that thrives together.

Thank you for showing interest in becoming a Member!

*HCNTX is not exclusive to Hispanic/Latino businesses/organizations.
Applicant's Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Business/Organization Information
Business/Organizattion Name
Registered as:
Business/Organization Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business/Organization Email
example@example.com
Website
# of Employees/Members
Industry/Sector

MEMBERSHIP LEVELS
IMPACT PARTNER (By HCNTX Invitation Only):
Please upload your organization/company logo below:

Cancelof
Membership Level Applying for:
- ELITE BENEFITS
  - Membership Certificate
  - On-going 1-on-1 Strategy Meetings
    Listing: Website Directory
  - Advocacy at the city, state, and federal levels
  - All-year vendor opportunities
  - Logo placement in the monthly Newsletter
  - Access To Committees
  - 1 Free Leadership Conference Ticket
  - Business Card in the office reception & at the Coalition table at events
  - Attendance and/or participation at Ribbon Cutting/Ground Breaking
  - Post Jobs/Events on Coalition media platforms
  - Complimentary Notary Service
  - Ticket to Annual Meeting/Conference
  - Logo on/in Welcome Packet
  - Exclusive Sponsorship Opportunities for Business Exposure
  - Exclusive Newsletter Spotlight
  - Invitations to VIP Events
  - Eligible to Chair Committee
  - 30% off 2 Annual Gala Tickets
  - 30% off Annual Business Conference
  - Use of Coalition Logo
  - Networking events
  - End-of-the-Year Investment Statement
- PLATINUM BENEFITS
  - Membership Certificate
  - On-going 1-on-1 Strategy Meetings
    Listing: Website Directory
  - Advocacy at the city, state, and federal levels
  - Select vendor opportunities
  - Access To Committees
  - 1 Free Leadership Conference Ticket
  - Business Card in the office reception & at the Coalition table at events
  - Attendance and/or participation at Ribbon Cutting/Ground Breaking
  - Post Jobs/Events on Coalition media platforms
  - 3 Notary Services
  - Ticket to Annual Meeting/Conference
  - Logo on/in Welcome Packet
  - Eligible to Chair Committee
  - 20% off 2 Annual Gala Tickets
  - 20% off Annual Business Conference
  - Use of Coalition Logo
  - Networking events
  - End-of-the-Year Investment Statement
- CLASSIC BENEFITS
  - Membership Certificate
  - On-going 1-on-1 Strategy Meetings
  - Listing: Website Directory
  - Advocacy at the city, state, and federal levels
  - 1 vendor opportunities
  - Access To Committees
  - 1 Free Leadership Conference Ticket
  - Business Card in the office reception & at the Coalition table at events
  - Attendance and/or participation at Ribbon Cutting/Ground Breaking
  - 1 Notary Services
  - Ticket to Annual Meeting/Conference
  - 10% off 2 Annual Gala Tickets
  - 10% off Annual Business Conference
  - Networking events
  - End-of-the-Year Investment Statement
- * Parent Company/Organization must be an Active member to apply and/or maintain Active "Affiliate" status.
  
  * Affiliates will receive the benefits listed under our "CLASSIC MEMBER BENEFITS." Any additional benefit offered will be at the discretion of the HCNTX Board or Leadership.

THANK YOU!
Thank you for taking the time to complete your application! Your participation with The Hispanic Coalition of North Texas will help strengthen our community and create new opportunities for growth and success. We appreciate your commitment and look forward to working together to make a positive impact. Please review your information carefully before submitting. Upon submitting this application, you will receive a Zefty link to make your membership payment.

Empowerment | Advocscy | Community
ACKNOWLEDGEMENT

*By signing below, I acknowledge that i have read and am in alignment with the organization's Vision and Mission Statements and have provided the above information to the best of my ability.
Signature
fULL NAME

DATE
Refer a Business AND/OR Organization
Name

First NameLast Name
Business/Organization Name:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

CONSENT ITEMS

Photo & Media Release Consent

By submitting this application, I grant permission to The Hispanic Coalition of North Texas, Inc. (HCNTX) to photograph, video record, and/or capture my likeness, voice, and participation during events, meetings, and activities.

I understand that these images and recordings may be used for promotional, marketing, educational, and public relations purposes, including but not limited to social media, websites, printed materials, and digital communications.

I acknowledge that:
- No compensation will be provided for the use of these materials
- HCNTX retains full rights to use, edit, and distribute such content
- I waive any right to inspect or approve the final use of the materials
Text Message/SMS Consent

By providing my phone number and submitting this application, I consent to receive text messages from The Hispanic Coalition of North Texas, Inc. (HCNTX) related to membership, events, updates, and community opportunities.

I understand that:
- Message frequency may var
- Message and data rates may apply
- I can opt out at any time by replying STOP
- For assistance, I can reply HELP or contact HCNTX directly
- By proceeding, I acknowledge that I have read and agree to receive communications via text message from HCNTX.
Email Communication Consent

By providing my email address and submitting this application, I consent to receive communications from The Hispanic Coalition of North Texas, Inc. (HCNTX).

These communications may include, but are not limited to, newsletters, event invitations, organizational updates, partnership opportunities, and requests related to HCNTX programs and initiatives.

I understand that I may opt out of receiving email communications at any time by using the unsubscribe link provided in HCNTX emails or by contacting the organization directly.

By proceeding, I acknowledge that I have read and agree to receive communications via email from HCNTX.

**By proceeding, I confirm that I have read and agree to all consent items mentioned above **

Please feel free to contact our office with any questions, concerns, or need clarification. (info@hcntx.org)
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MEMBERSHIP APPLICATION

Applicant's Information

Business/Organization Information

MEMBERSHIP LEVELS

THANK YOU!

Refer a Business AND/OR Organization