*Required Field  
Primary Contact Name:*
Business Name:*
Mailing Address:
City:
State:  
Zip Code: 
Physical Address:
Physical City:
State:  
Zip Code: 
Primary Phone:*
Fax:
Cell Phone:
Contact Preference:
E-mail:*
Website:
Number of Employees:* Full-Time   Part-Time 
Note: Full time employees or equivalent of 40 hrs/ per wk.
Example: Two 20hr/wk employees equal one employee
Type of Business:*
Business Description:
Limit of 200 characters
Referred By:*
Disclaimer: "I hereby grant the Sacramento Hispanic Chamber of Commerce the right to take photographs and display them, whether known by me or not, in their marketing and media coverage of events and or monthly publications."

Disclosure: Qualification to be a member. Membership is non-refundable. The Board of Directors has the right to accept or reject any application for membership.
 
 

 

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