Office: 819 East Avenue Q-9, Palmdale, CA 93550 * Phone: 661-538-0607 * Fax: 661-538-1057
MEMBERSHIP APPLICATION
MEMBERSHIP APPLICATION
Type:
New
Renewing
=================================
Schedule:
Individual ($75/Year)
Non-Profit ($125/Year)
Less than 25 Employees ($150/Year)
26 to 100 Employees ($175/Year)
More than 100 Employees ($225/Year)
Corporate Partner ($1,000/Year)
Corporate Sponsor ($5,000 +)
=================================
Company Name:
Contact Person:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Website:
ABOUT YOUR COMPANY
Home-based:
YES - Home-based
NO - Not home-based
================================
Hispanic Owned:
YES - Hispanic owned
NO - Not Hispanic owned
================================
Type of Business:
Classification:
# of Employees:
Year Established:
Primary SIC Codes:
Secondary SIC Codes:
Primary Mkt. Areas:
Annual Sales:
Corporate Profile
(description)
:
EXPORT INFORMATION
Do you Export?:
YES - We export
NO - We don't export
================================
Export From:
Export To:
Principal Clients:
COMMITTEE INVOLVEMENT
1
st
Choice:
Budget
Business Site Visits
Bylaws
Cesar Chavez Day
Cultural Outreach
Education / Scholarships
Election / Nominating
Training Program
Festival De Las Americas
Foreign Trade
Installation Banquet
Legislation
Luncheons
Membership Recruitment
Membership Retention
Military Affairs
Mixers
Personnel
Public Affairs
Seminars
Special Events
Ways and Means
================================
2
nd
Choice:
Budget
Business Site Visits
Bylaws
Cesar Chavez Day
Cultural Outreach
Education / Scholarships
Election / Nominating
Training Program
Festival De Las Americas
Foreign Trade
Installation Banquet
Legislation
Luncheons
Membership Recruitment
Membership Retention
Military Affairs
Mixers
Personnel
Public Affairs
Seminars
Special Events
Ways and Means
================================
3
rd
Choice:
Budget
Business Site Visits
Bylaws
Cesar Chavez Day
Cultural Outreach
Education / Scholarships
Election / Nominating
Training Program
Festival De Las Americas
Foreign Trade
Installation Banquet
Legislation
Luncheons
Membership Recruitment
Membership Retention
Military Affairs
Mixers
Personnel
Public Affairs
Seminars
Special Events
Ways and Means
================================
AD PARTNERSHIPS
CORPORATE SPONSORS
Wells Fargo Bank
City of Palmdale
Proudly serving the Antelope Valley community.
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