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Name:________________________________________________
Title:_________________________________________________
Company:_____________________________________________
_____________________________________________________
Address:______________________________________________
_____________________________________________________
City/Zip:_____________________________________________
Phone:_______________________________________________
Fax:_________________________________________________
Email:________________________________________________
Business
Description:___________________________________
_____________________________________________________
Total
# of Employees:___________________________________
Additional
Representatives:_______________________________
Name:________________________________________________
Title:_________________________________________________
Name:________________________________________________
Title:_________________________________________________
Name:________________________________________________
Title:_________________________________________________
Membership
Investment Categories
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$
150.00
|
Business
5 Employees or less
|
|
$
300.00
|
Business
6 Employees or more
|
|
$
500.00
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Corporation
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By
my signature below, I hereby apply for membership with the OHCC.
My membership with the OHCC is for 1 year, unless canceled by written
resignation or non-membership renewal.
Signature:_____________________________________________
Date:____________Check#:______________Cash:___________
Sponsor:______________________________________________
Make
Checks Payable to:
Ontario Hispanic Chamber of Commerce
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