Membership Application

We invite you to apply for membership in the Hispanic Chamber of Commerce of Palm Beach County. Your membership is a strong indication of your support of the activities of the Hispanic Chamber of Commerce and the business development of the Hispanic community. Please use this Form Page for your application. Do Not Add Additional Text. If you have questions, please give us a call at (561) 832-1986. Gracias.

To download and print this application, please click here.

Company Name:*

 

Representative's Name:*

 

Representative's Title:*

 

Mailing Address:*

 

City, State, Zip:*

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Phone Number:*

 

Fax Number:

 

E-mail Address:*

 

Referred By:

 

Membership Level:

Trustee Partner ($2,500) Large Business (17+ employees) ($425) Government, Education, Other Chamber ($300) Mid-Size Business (8-16 employees) ($275) Small Business (2-7 employees) ($165) Charitable Non-Profit Organization ($150)

 

Involve more people from your organization
Associate membership is available for other members of your firm for an additional $75 per year. Please list each associate member and their email address below. (Note: Trustee Partner Members may add up to three (3) associates at no additional charge.)

1. Associate Name:

 

1. Associate E-mail Address:

 

2. Associate Name:

 

2. Associate E-mail Address:

 

3. Associate Name:

 

3. Associate E-mail Address: