DIRECTORIO 2020
MEMBERSHIP APPLICATION To become a member of the Hispanic Chamber of Commerce of Louisiana, visit https://business.hccl.biz/member/newmemberapp/ or fill out and send in the form below:
BUSINESS INFORMATION
MEMBERSHIP PACKAGE
Company Name___________________________
Platinum Sponsorship
Address__________________________________
Gold Sponsorship
City_____________________________________
Silver Sponsorship
Bronze Sponsorship
Education Sponsorship
Large Corporation Sponsorship
Mid-Size Company Membership
Small Company Membership
Individual OR Professional OR Independent Membership
Non-Profit Organization Membership
Small Non-Profit Membership
Year Established ___________________________
Retiree OR Teacher at Accredited Institution Membership
Hispanic Majority Owned?
Y/N
PRIMARY CONTACT INFORMATION
Minority Certified Business?
Y/N
Name _______________________________
State____________________________________ Zip______________________________________ Phone___________________________________ Fax______________________________________ Email____________________________________ Website__________________________________ Business Description (200 Characters Max)__________ ________________________________________ ________________________________________ Business Keywords_________________________
Woman-Owned Business?
Y/N
Number of Employees: _____________________
Title_________________________________ Phone_______________________________ Email ________________________________ Contact Preference? Phone
www.hccl.biz
33
