Sign-up for	Price each	Select
Individual	$50.00
Business ( 2 or more employees)	$100.00
Corporation	$300.00
Non-Profit Organization	$100.00

 

	Total:
Name:
Address:
City:		State/Prov:
Phone:
Email:
Method of Payment:		If form fails to submit. Please print page out and mail to Madera Hispanic Chamber office address.
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