FCHCC New Membership Application

New Membership Application

Complete the membership application below. Required fields are marked with a red (*) asterisk. Note: you do not have to be of Hispanic ancestry to become a member or volunteer for our committees.
Contact Name:*

First NameLast Name
Company Name:
Contact's Job Title:
No. of Employees:
If applicable, what date did your business start? FCHCC would love to celebrate your business anniversary with a "shout-out" on our Social Media Outlets!

MonthDayYear
If applicable, what type of products or services does your organization offers?
Principal/CEO or Owner's Birthdate (select Month):*
Principal/CEO or Owner's Birthdate (select Day):*
up to $500K$501K - $1Mgreater than $1M
Select the industry for your Organization (if you are joining as a company):
If your organization is in a different industry, please specify (if you are joining as a company):
Address: (Please note: if you are joining FCHCC as a student or individual member, only your name will be displayed in the membership directory.) *

Street Address

Street Address Line 2

CityState

Postal/Zip CodeCountry
Does your Company have a logo? If so, you can upload it to have the chamber help promote your business. NOTE: this service only applies to Non-Profit 1 up to Strategic Partner membership levels.

Acceptable file formats: .jpg, .jpeg, or .png only.
Cancelof
Business Phone:*
Format: (000) 000-0000.
Cell Phone:*
Format: (000) 000-0000.
Business Fax #:
Format: (000) 000-0000.
YesNo
YesNo
Contact Email Address: (must be a working email): Please NOTE: Your email will be added to our email list so that you'll receive our monthly newsletter and event invites. You can opt out at any time.*

Confirmation EmailAlso note: if you've already subscribed, you won't be added to our list again, thank you for your support!
Website Address:
How did you hear about FCHCC?
COMMUNICATIONS
FacebookX (formerly Twitter)InstagramLinkedInNot on social media
Your Facebook username or link:
X (formerly Twitter) username or link:
Instagram username or link:
LinkedIn username or link:
VOLUNTEER FOR FCHCC COMMITTEES
MembershipPrograms and EventsMarketing/MediaCultural CommitteeATD ScholarshipNon-ProfitSponsorship
MEMBERSHIP LEVELS

Membership dues are renewed annually. Therefore, and on the renewal period, the credit card on file will automatically be charged the full membership fee. You will have the option to request the cancelation of the membership by a required 72-hour written notice. Otherwise, your credit card on file will automatically be charged with the pertinent renewal fee.
I Acknowledge that I have read and understand the information above about my joining as an Individual or Student Member.Not Applicable; I am not joining FCHCC as an Individual or Student Member.
If you're joining as a student, what university or educational institution are you enrolled in?
Important Note: When completing this membership application, please ensure that the credit card billing information (address, zip code, etc.) matches the Credit Card Owner’s information on file with the Financial Institution.

Please select the desired membership level below: (NOTE: a credit card processing fee will be added at checkout.)*

Please verify that the Corporate Membership billing address and zip code in this application matches the Credit Card billing address with the Financial Institution.
Please note that upon enrollment, your membership will be set to automatically renew to ensure uninterrupted access to all member benefits and opportunities. Should you wish to cancel, you are welcome to contact us at least 30 days prior to your renewal date, and we will be happy to assist you.
Please verify that you are human*
Should be Empty:

New Membership Application

COMMUNICATIONS

VOLUNTEER FOR FCHCC COMMITTEES

MEMBERSHIP LEVELS