Online Application

  

TAMPA BAY HISPANIC CHAMBER OF COMMERCE

1502 Busch Blvd. Suite F - Tampa, FL 33612 Ph 813-414-9411 Fax 813-414-0811

Member Information
Name of Company *   Date *  
Contact *   Title
Address *   Referred By
City *    State: *      Zip code *  
E-mail *   Phone *  
Website Fax

 

Business Information
Type of Business *    Examples Number of employees *  
Chief Executive's Name *   Phone *  
Corporate Headquarters *  
Name of Community Affairs Department Head Phone
Description of Business *
NEW Hispanic Owned Business? *  (Check Box if this business is more than 51% Hispanic Owned)

 

Please DO NOT PUBLISH MY PHOTO in promotional, newsletters, directories or chamber printed materials.

 By checking this box * I acknowledge that I have read and accepted the mission statement . My contact information may be distributed by the chamber and any photos taken at chamber activities published.

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 Last thing!  To ensure a person has filled out this form . . . Enter the current year. *   

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Tampa Bay Hispanic Chamber of Commerce
1502 Busch Blvd. Suite F, Tampa, FL  33612
Telephone 813-414-9411
Fax 813-414-0811
National Toll Free 1-800-565-5595
info@tampahispanicchamber.com

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