Hispanic Chamber of Commerce of Northern California
Membership Application
Mail this form along with your payment to:
Hispanic Chamber of Commerce of Northern California
1194 E. Lassen Ave. Ste 110
Chico, CA 95973
Applicant Name:
Applicant Title:
Membership Type:
Premium Membership Type:
Business/Member Name:
Category:
Address:
City:
State:
Zip:
Primary Phone:
Alternate Phone:
Fax:
Email:
Web Site Link:
Business Summary:
I am interested in:
Hosting a mixer
Advertising opportunities
Sponsorship opportunities
Serving on board/committees
Speak to HCCNC
Other (indicate below)
Comments/Other: