Become a Member

Company Name
Date
Street Address
City, State, Zip
Mailing Address
City, State, Zip
Main Contact
Title
Contact Email
Authorizing Agent (if different)
Email
Company Website
Company Email
Phone
Fax
Year Company Began
Number of Local Employees
Percentage Minority Owned
End of Fiscal Year

Please Select One Class Code

01 Amusement & Entertainment

02 Automotive

03 Construction

04 Banks, Savings & Loans

05 Investment & Finance Companies

06 Hotels & Motels

07 Apartments, Mobile Home Parks

08 Insurance

09 Real Estate

10 Manufacturing & Processing

11 Professional

12 Public Utilities

13 Publishers & Printers

14 Radio & Television

15 Restaurants, Cafes & Taverns

16 Retailers

17 Wholesalers & Distributors

18 Services

19 Transportation

20 Home Based Business

21 Individuals

22 Non-Profit, Clubs, Organizations

23 Government

24 Schools, Colleges, Universities

25 Beauty Salon

26 Other

Please provide a brief summary or description of your products and services.

Name something that the Hispanic Chamber can do to help your business.

Commitment Levels:

Corporate 500+ Employees $2000

  • Ribbon Cutting
  • Directory Listing – Logo and company profile (Website & printed directory)
  • 12 month banner ad campaign on website
  • Access to educational seminars, promotional events & opportunities
101-499 Employees $500*

50-100 Employees $300*

1-50 Employees $200*

Non-Profit Membership $125*

Individual Membership $75

Student Membership $25

*These levels receive the following:

  • Ribbon Cutting
  • Text only directory listing
  • 30 day banner ad campaign on AHCC Website.
Signature
Date