| New or Renewing Member* |
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| Your company name |
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| Last Name* |
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| First Name* |
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| Address 1* |
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| City* |
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| State |
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| Zip Code* |
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| Business Phone* |
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| Cell Phone |
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| Email* |
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| Web Site |
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| How did you hear about NLBWA-SAC? |
Friend
Email Announcement
Web Search
Other
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| If other, please indicate here |
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| Please let us know if someone referred you |
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| My business background is |
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| If not a Business owner are you looking to start a business? |
Yes
No
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| If business owner, what type of business do you own |
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| Year established |
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| Percent of Ownership |
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| Annual Revenues |
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| Number of Employees |
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| If a business owner, is your business certified to do business with the Government? |
Yes
No
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| If yes, which Government entity |
City
County
State
Federal
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| I am interested in Loan services |
Yes
No
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| My educational background is |
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| My income level is |
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| Type of Membership* |
Business Membership $100
NonProfit Membership $100
Student Membership $35
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| If business membership size of business |
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| Write a short description of your business |
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| If Nonprofit membership name of Organization |
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| What are your expectations as a member of NLBWA-SAC? |
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| Business topics are of interest |
Time Management
Networking
Organization
Business Etiquette
Marketing
Sales
Financial Planning
Legal Topics
Accounting Practices
Access to Capital
Taxes
Public Relations
Motivational Speaker
Business Plan
Homeownership
Hiring Practices
Credit Counseling
Legislative
Retirement
Other
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| If other, list here |
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| Committee interest |
Membership
Marketing
Sponsorship
Special Events
Nominations
Business & Legislative Days in Sacramento
Latina Financial Group
Emerging Latinas
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| I am interested in serving on the Board of Directors |
Yes
No
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| Payment Method |
Pay now by Credit Card or Paypal
Mailing Check
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Your Application is Not Complete Until Payment is Received.
You will be allowed to make your payment on the next page, if you selected to mail in your check please do so or bring it with you to the next NLBWA event.
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