Member Sign-Up

Click here to print the PDF form, or fill-in the online form below.

First Name:
   Last Name:
     
Company:
   Company's Category (how is it listed in Yellow Pages?):
# of Employees:
   Ethnic Classification:
Company Address:
  
City:
 State/Province:
 Zip/Postal Code:
Country:
  
Work Phone:
 Extension:
Fax Number:
   Mobile Phone:
Home Phone:
   Email Address:
Company Website:
    
     
Sign up for the following committee:
Access to Capital Committee
Business Advisory & Mentoring Group
Business Expo Committee
Fresno Business Hub Committee (Amigo Luncheon)
Golf Committee
Hispanic 500 Awards
Information Technology (Website) Committee
Installation of Officers Committee (Gala)
Latina Women Conference Committee
Networking Mixers Committee
Spanish Workshop Committee
     
Password:
   Confirm Password:

Select your membership type:



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