Member Application

Join the Hispanic Chamber

Membership in the Hispanic Chamber of Commerce is open to companies and organizations located or doing business in Queens County, New York. Companies may join as individual members, or may enroll as a corporate or major corporate member.

Interested in joining the Hispanic Chamber? Here are a few ways you can:

  • Email us your contact information at HCCQ
  • Call us at 866-824-1989
  • Download a PDF (Portable Document Format) of our membership application, which you can mail in, or fax it to 866-824-1989

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You can download it for free by clicking here

If you have any questions or would like more information, e-mail us at HCCQ, or call us at 866.824-1989

Download a PDF format of HCCQ Member Application Form

 

MEMBERSHIP APPLICATION

 

Name / Nombre: _________________________________

Title / Titulo: _________________________________

Organization / Organizacion: _______________________________________________

Address / Direccion: ______________________________________________________

Phone / Telefono: _____________________________ Fax: _____________________________

Number of Employees / Numero de Empleados: _________

Year Established / Fecha Establecido: __________

Type of Industry / Industria: _______________________________________________

Main E-Mail: ___________________________ Web Page: ___________________________

Secondary E-Mail: ___________________________________

Membership Dues for 2013:

    • Basic Membership – $100

(membership certification, include in the newsletter / email blast)

    • Silver Membership – $375

(include Individual/business profile, membership certification, promote email blast events / seminars)

    • Corporate Membership – $2500

(include Individual/business profile, membership certification, promote email blast events / seminars, one event/seminar hosted by chamber, hyperlink to your company website, logo display)

  • Not-for-profit organizations: $100
  • Retired persons, Public Employees, Ordained Ministers card: – $50, Other individuals: $100

I hereby authorize HCCQ to print and publish my name, address & phone number in the Annual Membership Handbook / Yo autorizo a HCCQ a imprimir y publicar mi nombre, direccion y telefono en el Anuario de Miembros.

YES _____ NO _____

Credit Card Payment: Card Holder Name: _______________________________

Account Number _______________________________ Exp Date ___________ CCV Code _____________

Applicant’s Signature / Firma: _____________________________ Date / Fecha: __________

Note: Credit Card Process would be renewal automatic every yearYou could FAX your application to 866.824.1989

 

Please make check payable to: HISPANIC CHAMBER OF COMMERCE OF QUEENS
Location:  24-16 Queens Plaza South, Suite 502, Long Island City, NY 11101

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