Tulare Kings Hispanic Chamber of Commerce

Membership Application

Please print out application and fax to (559) 734-6021

Start Date of Membership: ____________________

Name/Business____________________________________________________________________________

Contact Person__________________________________Title_______________________________________

Address:__________________________________________________________________________________

City__________________________________________________________Zip_________________________

Mailing Address:________________________________________City:__________________Zip: _________

Ph: ________________________Fax:__________________________E-Mail__________________________

Webside:_________________________________________________________________________________

Type of Membership: ⁭ Corp. ⁭ Small Business ⁭ Non-Profit ⁭ Individual

Type of Business/Services Offered:________________________________________No. Employees: ______

Year Established_______________

Products or Services Offered__________________________________________________________________

_________________________________________________________________________________________

Signature:________________________________________________________Date:_____________________

Membership Dues

Business / Corporation:

1-2 Employees - $125 11-50 Employees- $300

3-5 Employees- $150 51-100 Employees $400

6-10 Employees $200 101-150+ Employees $500

Civic Minded Individual-$85 Non-profit Agencies $100

Check Enclosed ⁭ Invoice Me ⁭

Mail a Check Payable to:
Tulare Kings Hispanic Chamber of Commerce
711 N. Court Street Suite C.
Visalia, Ca. 93291
(559) 734-6020