To become a member of the Greater Philadelphia Hispanic Chamber of Commerce, complete the form below.

To donate to the PMN Dr. José E. Lebron Scholarship Fund, complete all the items marked with an asterisk, then scroll down to where it says "I include a $_____ donation to the PMN scholarship fund" to enter your donation amount, followed by your credit card information.


The GPHCC uses Authorize.net as our secure gateway when transmitting your personal information

We offer a one-day money back guarantee on our membership fees. All refunds will be provided as a credit to the credit card used at the time of purchase. For customer service inquiries please call (215) 790-3723.



Company:*
Address:*
 
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Contact Person Last Name:*
Title:*
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Business Representative First Name:
Business Representative Last Name:
Title:
Telephone:
Fax:
Email Address:*
Website:
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Business start date:
Industry:*
Number of Employees:
Minority Owned:
If Minority Certified, please check one:
WBE SBA8(a)
DSBE HUB Zone
MBE Other
Referred by:
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Reasons for Joining the Chamber:
Public Policy/Advocacy
Programs & Events
Benefits
Networking
Community Engagement
Technical Assistance
Access to Capital
Supplier Diversity
Employment Opportunities
Vendor Discounts
Other
Membership Levels:
 
I include a $ donation to the PMN scholarship fund.

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